Individual provider Active NPI

Keya L Rohlman, SUDPT

  • Addiction (Substance Use Disorder) Counselor
  • Poulsbo, WA
National Provider Identifier
1205559606
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
19045 Wa-305 Suite 190
Poulsbo, WA 98370-9831
Phone
(360) 876-9430
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

19045 Wa-305 Suite 190
Poulsbo, WA 98370-9831

Mailing address

4060 Wheaton Way Ste F
Bremerton, WA 98310-3500
Phone (360) 876-9430

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Sound Treatment Center Addiction (Substance Use Disorder) PastSince Sep 25, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: keya.rohlman.p1@direct.pgsklallamtribe.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1205559606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WHEATON WAY STE F",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103500",
            "telephone_number": "360-876-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19045 WA-305 SUITE 190",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709831",
            "telephone_number": "360-876-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLMAN",
        "first_name": "KEYA",
        "middle_name": "L",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.