Active NPI
Abdullahi Jaranow
- Mental Health Counselor
- Tukwila, WA
National Provider Identifier
1083336770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61435824
- Practice address
- 6400 Southcenter Blvd
Tukwila, WA 98188-2547 - Phone
- (206) 901-2000
- NPI assigned
- Sep 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | MC61435824 | WA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Mailing address
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (206) 901-2000
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 |
|---|---|---|---|
| MC61435824 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1083336770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SOUTHCENTER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882547",
"telephone_number": "206-901-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 SOUTHCENTER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882547",
"telephone_number": "206-901-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARANOW",
"first_name": "ABDULLAHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61435824",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.