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Active NPI 1104530526 Individual Practitioner Female Practitioner

Clysta Cole , CPSS

Peer Specialist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Clysta Cole, CPSS is a registered healthcare professional specializing in Peer Specialist in Seattle, WA. Practice services are available at 2212 S JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2212 S Jackson St

Seattle, WA 981442591

Telephone 2063222387
Associated Practice Facility / Clinic
🏢 Matrx Pharmacy, Llc Facility NPI 1578284691

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
307 Specialists

Practicing in Seattle, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA 70074097

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

2100 24th Ave S

Seattle, WA 981444637

Phone: 2063825340

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tess Brewer

Counselor

NPI 1003699497
NPI 1013527530
NPI 1013895614
Laura Etling

Counselor - Mental Health

NPI 1023588944
NPI 1043178718
Andrew Powers

Counselor

NPI 1053087460

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 12, 2026

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

📍
Updated Business Mailing Address January 12, 2026

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

📍
Updated Business Mailing Address December 15, 2025

Registered at PO BOX 2429, LONGVIEW, WA 986328486

👤
Provider Name / Credentials Updated December 15, 2025

Recorded as CLYSTA COLE, CPSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Peer Specialist (License #70074097 in WA)

NPI Profile Active January 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2023

Registered at 2100 24TH AVE S, SEATTLE, WA 981444637 (Tel: 2063825340)

📍
Updated Business Mailing Address January 10, 2023

Registered at 2100 24TH AVE S, SEATTLE, WA 981444637

👤
Provider Name / Credentials Updated January 10, 2023

Recorded as CLYSTA COLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2023

Counselor

🟢
Initial NPI Registration & Enumeration January 10, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104530526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2023
Last Update: January 12, 2026
Sole Proprietor: Yes

Mailing Address

2212 S Jackson St

Seattle, WA 981442591

Phone: 2063222387

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.