=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235062753
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SAMANTHA NICOLE YEE AAC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2026
-----------------------------------------------------
Last Update Date | 06/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 601 S CARR RD STE 450
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98055-5866
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-686-9509
-----------------------------------------------------
Fax | 425-686-9607
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23515 NE NOVELTY HL RD STE B221-159
-----------------------------------------------------
City | REDMOND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98053-1996
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-686-9509
-----------------------------------------------------
Fax | 425-686-9607
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | CG61525913
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------