Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477037513 Individual Practitioner Female Practitioner

Crystal Jan Clark , CPC

Peer Specialist • Tukwila, WA

Professional Overview & Biography Verified Profile Summary

Crystal Clark, CPC is a registered healthcare professional specializing in Peer Specialist in Tukwila, WA. Practice services are available at 6400 SOUTHCENTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6400 Southcenter Blvd

Tukwila, WA 981882547

Telephone 2069012000
Associated Practice Facility / Clinic
🏢 Sound Facility NPI 1780774950

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tukwila, WA

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

Practicing in Tukwila, 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: 2025-09-22
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003455106
Ellen Wastell

Counselor

NPI 1003635079
Leon Markey

Counselor

NPI 1013559160
Tamiim Kamali

Counselor

NPI 1013569409
NPI 1013613207

Registered Nurse, Bachelor of Science in Nursing

NPI 1013708205

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 22, 2025

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547 (Tel: 2069012000)

📍
Updated Business Mailing Address September 22, 2025

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547 (Tel: 2532988759)

📍
Updated Practice Location August 26, 2025

Registered at 13925 INTERURBAN AVE S STE 120, TUKWILA, WA 981685718 (Tel: 2069480096)

📍
Updated Business Mailing Address August 26, 2025

Registered at 7740 40TH ST W APT 40B, UNIVERSITY PLACE, WA 984663142 (Tel: 2532988759)

NPI Profile Active September 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2018

Registered at 9720 S TACOMA WAY, LAKEWOOD, WA 984994456 (Tel: 2533285862)

📍
Updated Business Mailing Address September 24, 2018

Registered at 7790 40TH ST W APT A, UNIVERSITY PLACE, WA 984663128 (Tel: 2532988759)

👤
Provider Name / Credentials Updated September 24, 2018

Recorded as CRYSTAL CLARK, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration September 24, 2018

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: 1477037513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2018
Last Update: September 22, 2025
Sole Proprietor: Yes

Mailing Address

6400 Southcenter Blvd

Tukwila, WA 981882547

Phone: 2532988759

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.