Your Mental Health Specialist in Seattle, WA

Julie Lesko, ARNP, PMHNP, FNP

 Offices in Renton, Washington

Now offering secure, private, personal video appointments.


About Me

A woman talking to a mental health professional in Seattle, WA

My background

I completed my first nursing degree from the University of Washington in 1995. After working several years as an RN, I went on to earn my Master's degree in Nursing and my certification as a Family Nurse Practitioner. While working in Primary Care, Urgent and Emergency Care, I worked on my post-Masters studies, earning certification in Psychiatric Mental Health Nursing. During these years I treated many people with mental health needs of the most chronic and severe nature. It was during my post-Masters program that I began providing care in a community mental health clinic, until I opened my private practice in Renton in 2016. In 2016 I opened my private practice in Renton, Washington, and I am offering convenient, private, personal  video visits beginning January of 2019. To request an appointment, send an email to

Find out more

How I got started

I have worked in all types of nursing: medical, surgical, emergency room, rehabilitation, oncology, OB-GYN; in the hospital, in specialty clinics and out in the community. Throughout the years, I seemed to always return to mental heath nursing in one form or another. I have worked in the hospital with people who were in crisis with depression, extreme moodiness, psychosis and schizophrenia. I have treated people with addictions. I worked with veterans who had severe PTSD and other mental illnesses. I have worked with people with dementia and Alzheimer's disease.  When I wasn't working in the hospital, I worked in a community outpatient program which served people with mental health problems so severe that, without the program, they would spend the majority of each year in the hospital. Once they were in our program they were able to live in the community and have better, more stable lives.  My experience there was very rewarding, and it was a privilege to be able to make a difference in the lives of the participants. As a Nurse Practitioner, I  have worked in urgent care and primary care settings, and in outpatient mental health clinic, where we served those without insuranceCurrently, I am in private practice, in Renton, open to serve the mental health needs of individuals in the community, from a holistic point of view.

My approach

I see wellness through a holistic point of view. As a Family Nurse Practitioner, I am knowledgable of the many physical imbalances and illnesses that people suffer, and the ways that physical illness can effect one's mental health.  As a Psychiatric Nurse Practitioner, I bring that knowledge to the table when we discuss your needs and goals. Mental health is a state of being at peace, and having a sense of meaning and a sense of personal power. These ideas drive my approach to helping people who come to see me. There are many ways to improve one's mental health, and I respect each person's beliefs and goals when they come to me for help. I bring my clinical expertise, which guides us safely as we work on a person's needs and goals. When medications are appropriate, safety is of utmost importance, as the risks of using medications must be considered, and weighed against the benefits of the medication. 

Contact Us

For further information or to make an appointment:

Taking new patients now!

New patients can normally be scheduled within one to two weeks.

Serenity Mental Health, Optimum MH Affiliate

For in-office visits Monday - Thursday: Call 425-233-0431
ForTele-health, HIPPA-secure video visits Friday: Email, or click the Contact link above.
Tele-health services are not affiliated with Optimum Mental Health.