Active NPI
Peter P Jabin, M.DIV., LMHCA
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1003207481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC 60293349
- Practice address
- 901 Boren Ave
Suite 1300
Seattle, WA 98104-3595 - Phone
- (206) 923-8943
- NPI assigned
- Feb 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC 60293349 | WA | Primary |
Addresses
Primary practice location
901 Boren Ave
Suite 1300
Seattle, WA 98104-3595
Mailing address
956 10TH Ave E Apt 1
Seattle, WA 98102-4557
Phone (206) 459-9569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 7, 2025 through Aug 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC 60293349 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1003207481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 10TH AVE E APT 1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024557",
"telephone_number": "206-459-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOREN AVE",
"address_2": "SUITE 1300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043595",
"telephone_number": "206-923-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABIN",
"first_name": "PETER",
"middle_name": "P",
"credential": "M.DIV., LMHCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC 60293349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.