Olympic Mental Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OLYMPIC MENTAL HEALTH

Practice address

100 Denny Way Unit 103
Seattle, WA 98109-4049

Phone

(206) 888-4894

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Joshua GotlibNPI 1326718990

Title

Founder/Executive Director

Phone

(206) 888-4894

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Andrew Gotlib, MS, LPC, CADC III

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1326718990
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1154018372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 730",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DENNY WAY UNIT 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094049",
            "telephone_number": "206-888-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "GOTLIB",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-888-4894"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenette J. Olvera, LICSW
• Joe Angel Olvera
• Olympic Chiropractic & Spine Fitness
• Olympic Clinical Services, Inc.
• Olympic Medical Center Trust (Olympic Medical Center)
• Olympic Physical Therapy, Inc.
• Olympic Racquet and Health
• Sarah A Oman, MD
• Abdullahi Omar
• Fadumo Ismael Omar, ARNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.