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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB RICHARD BAHNICK
NPI 1003773524
Peer Specialist in Everett, WA

Active since January 07, 2026
4526 FEDERAL AVE, EVERETT, WA 98203(425) 349-6200 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Jacob Richard Bahnick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB RICHARD BAHNICK (NPI 1003773524) is an individual peer specialist in Everett, Washington, licensed in Washington (CPST.PE.70161922) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1003773524
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACOB RICHARD BAHNICK
Location Address4526 FEDERAL AVEEverett, WA 98203-2132
Mailing Address4526 Federal AveEverett, WA 98203-2132 · (425) 349-6200
Phone(425) 349-6200
Sole ProprietorNo
Enumeration DateJanuary 7, 2026
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1003773524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CPST.PE.70161922
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X
4526 FEDERAL AVE, Everett, WA 98203
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ANNE TONER MHT3,AAC-R
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
RAINE NOEL LOYLES
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JESSICA MARIE TOKARCHUK MA, AAC
Counselor (Mental Health)
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
SHANNON LEE SWEET
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JESSICA RAMSEY
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
MELANIE FAYE STAVIG AA, LPN
Licensed Practical Nurse
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
MISS AUDREY ROSLEYNE AKINYI OWUOR
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200
JUETONG ZHU
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Snohomish County (425) 349-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Bahnick's NPI number?

The NPI number for Jacob Bahnick is 1003773524. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Jacob Bahnick located?

Jacob Bahnick practices at 4526 Federal Ave, Everett, WA 98203. The listed phone number is (425) 349-6200.

What is Jacob Bahnick's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jacob Bahnick was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.