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

Ohtae Kwon, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770187627

Ohtae Kwon, PMHNP is a Nurse Practitioner in Tacoma, Washington. Qualified in 2020, 6 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas and Washington.

Years since qualifying
6
Licensed in
TX, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

5909 Orchard St W
Tacoma, WA 98467-3824
Phone: (253) 475-6021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61146832 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 1018225 (TX)

Record details

NPI number1770187627
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedNovember 22, 2020
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address5909 Orchard St W, Tacoma, WA 98467-3824

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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