Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Anteneh Woldeselassie, PMHNP-DNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1396465753

Dr. Anteneh Woldeselassie, PMHNP-DNP is a Nurse Practitioner in Kent, Washington. Qualified in 2024, 2 years ago. Practices with Harbor Youth and Family Counseling, a 32-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2022

Practice location Address checks out

26136 Pacific Hwy S
Kent, WA 98032-6910
Phone: (206) 212-6189
Fax: (206) 429-2587
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61562033 (WA)

Record details

NPI number1396465753
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-DNP
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Harbor Youth And Family Counseling — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kent