Deema Soufan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.015627 Issued in IL

Practice address

9307 Bay Shore Dr NW # 304
Silverdale, WA 98383-8219

Phone

(206) 635-9006

NPI assigned

Jan 24, 2020

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

State licenses

Practice roles

Locations

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.

• Partum Wellness PLLC

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1154181808
  NPD Authorized official

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1164052544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 NW RUSTLING FIR LN",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837867",
            "telephone_number": "708-870-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 BAY SHORE DR NW # 304",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838219",
            "telephone_number": "206-635-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFAN",
        "first_name": "DEEMA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy E Smith, O.T.
• Steven A Sodorff, R.P.T.
• James Wesley Solze III, M.D.
• Monica L Son, SWAAL-SA
• Myles Sorokovsky
• Sound Pain Alliance
• Sound Pain Alliance
• Sound Pain Alliance
• Sound Speech & Language, PLLC
• South Sound Inpatient Physicians, PLLC

• Mental Health Counselor in Silverdale, WA
• Providers in Silverdale, 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 Mar 11, 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.

Verify at the official NPI Registry.