BACKCOUNTRY MENTAL HEALTH PLLC
NPI 1700702719
Nurse Practitioner - Psychiatric/Mental Health in Renton, WA

Active since June 24, 2026
2500 NE 21ST ST, RENTON, WA 98056(314) 402-4766 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Backcountry Mental Health Pllc NPPES

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

BACKCOUNTRY MENTAL HEALTH PLLC (NPI 1700702719) is a healthcare organization registered as a psychiatric/mental health in Renton, Washington and active in the NPI registry since June 2026. The organization lists Kyle Young, Founder/pmhnp, as its authorized official.

NPPES Registry Identity

NPI1700702719
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBACKCOUNTRY MENTAL HEALTH PLLC
Location Address2500 NE 21ST STRenton, WA 98056-2743
Mailing Address2500 Ne 21st StRenton, WA 98056-2743 · (314) 402-4766
Organization SubpartNo
Authorized OfficialKyle YoungFounder/pmhnp · (314) 402-4766
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1700702719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2500 NE 21ST ST, Renton, WA 98056

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine (Adult Medicine)
2500 NE 21ST ST
RENTON, WA 98056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700702719, enumerated as an "organization" on June 24, 2026.

The provider is located at 2500 NE 21ST ST RENTON, WA 98056 and the phone number is (314) 402-4766.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.