Active NPI
Haifa Al Sulaimawi
- Addiction (Substance Use Disorder) Counselor
- Kent, WA
National Provider Identifier
1053884353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO60739961
- Practice address
- 21851 84TH Ave S Ste 101
Kent, WA 98032-1958 - Phone
- (425) 687-7082
- NPI assigned
- Jan 9, 2019
- Last updated
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO60739961 | WA | Primary |
Addresses
Primary practice location
21851 84TH Ave S Ste 101
Kent, WA 98032-1958
Mailing address
21851 84TH Ave S Ste 101
Kent, WA 98032-1958
Phone (253) 372-8297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO60739961 | Other | WA | DOH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | . | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO60739961 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCHS, Inc. | Past | Accepting new patients | |
| WCHS, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1053884353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21851 84TH AVE S STE 101",
"city": "KENT",
"state": "WA",
"postal_code": "980321958",
"telephone_number": "253-372-8297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21851 84TH AVE S STE 101",
"city": "KENT",
"state": "WA",
"postal_code": "980321958",
"telephone_number": "425-687-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL SULAIMAWI",
"first_name": "HAIFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60739961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "CO60739961",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": ".",
"affiliation": "N",
"endpointDescription": ".",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": ".",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": ".",
"address_1": "21851 84th Ave S Ste 101",
"city": "Kent",
"state": "WA",
"country_code": "US",
"postal_code": "980321958",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.