Luwam Kidane

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4555 Delridge Way SW
Seattle, WA 98106-1379

Phone

(206) 937-7680

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Youth and Family Services

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1588874432
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1083379960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7941 14TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062119",
            "telephone_number": "206-719-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 DELRIDGE WAY SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061379",
            "telephone_number": "206-937-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDANE",
        "first_name": "LUWAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Nasser Kianpour, M.D.
• Sophia Kibare
• Isabelle Ann Kick
• Gregory Alexander Kicska, MD
• Hitomi Kidahashi
• Tsion Kidane, LMFTA
• Anthony Kidd
• Cloid Reiley Kidd, M.D.
• Kenya Maisha Kidd, P.A.
• Kidsmarts

• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.