Active NPI
Robert Alan Owen, LMP, DIP. C.
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1164470712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004059
- Practice address
- 1953 25TH Ave E
Seattle, WA 98112-3009 - Phone
- (206) 324-3495
- NPI assigned
- May 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00004059 | WA | Primary |
| Massage Therapist | 225700000X | MA00001829 | WA |
Addresses
Primary practice location
1953 25TH Ave E
Seattle, WA 98112-3009
Mailing address
1953 25TH Ave E
Seattle, WA 98112-3009
Phone (206) 324-3495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OW 3077 | Other | WA | REGENCE BLUE SHIELD |
Other names 1
- Bob Owen
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 |
|---|---|---|---|
| LH00004059 | WA | MD | Mental Health Counselor |
| MA00001829 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164470712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1953 25TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981123009",
"telephone_number": "206-324-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1953 25TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981123009",
"telephone_number": "206-324-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LMP, DIP. C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00004059",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00001829",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "OW 3077",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BOB",
"last_name": "OWEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.