Individual provider Active NPI

Rosalyn J Newman

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1154663524
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60331760 Issued in WA
Practice address
9015 Holman Rd NW Ste 4
Seattle, WA 98117-3481
Phone
(206) 553-9977
Fax
(206) 453-3496
NPI assigned
Mar 22, 2013
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60331760 WA Primary

Addresses

Primary practice location

9015 Holman Rd NW Ste 4
Seattle, WA 98117-3481

Mailing address

9015 Holman Rd NW Ste 4
Seattle, WA 98117-3481
Phone (206) 553-9977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60331760WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Play Therapy Mental Health CurrentSince Apr 14, 2024 Accepting new patients

Locations

8401 5th Ave NE
Ste 101
Seattle, WA 98115
Phone (206) 553-9977

9015 Holman Rd NW
Ste 4
Seattle, WA 98117
Phone (206) 553-9977

Organizations & group practices 1

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1154663524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 HOLMAN RD NW STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173481",
            "telephone_number": "206-553-9977",
            "fax_number": "206-453-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 HOLMAN RD NW STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173481",
            "telephone_number": "206-553-9977",
            "fax_number": "206-453-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ROSALYN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2022-01-19",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60331760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.