Active NPI
Mitchell Douglas Osterman
- Peer Specialist
- Seattle, WA
National Provider Identifier
1245125368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPST.PE.7005585
- Practice address
- 929 N 130TH St Ste 3
Seattle, WA 98133-7500 - Phone
- (253) 833-7444
- Fax
- (253) 835-9976
- NPI assigned
- Jun 10, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPST.PE.7005585 | WA | Primary |
Addresses
Primary practice location
929 N 130TH St Ste 3
Seattle, WA 98133-7500
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2342734 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1245125368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W GOWE ST",
"city": "KENT",
"state": "WA",
"postal_code": "980325892",
"telephone_number": "253-833-7444",
"fax_number": "253-661-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N 130TH ST STE 3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981337500",
"telephone_number": "253-833-7444",
"fax_number": "253-835-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTERMAN",
"first_name": "MITCHELL",
"middle_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-10",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WA",
"license": "CPST.PE.7005585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2342734",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.