Roanoke Park Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROANOKE PARK COUNSELING

Practice address

2601 Broadway E
Seattle, WA 98102-3906

Phone

(206) 323-7131

Fax

(206) 322-4078

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Janice M Palm, LMHCNPI 1700920204

Title

Executive Director

Phone

(206) 323-7131

Specialties & licenses 1

Addresses

Other names 1

• Shepherd's Counseling Services Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Marie Palm, LMHC

  • Mental Health Counselor
  • Kirkland, WA
  • NPI 1700920204
  Medicare reassignment NPD Authorized official
• Amanda Claire Franklin, M.ED.

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1821393679
  Medicare reassignment NPD
• Julia Laibson, MA, LMFT

  • Marriage & Family Therapist
  • Kirkland, WA
  • NPI 1528369931
  Medicare reassignment NPD

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1316180698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BROADWAY E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023906",
            "telephone_number": "206-323-7131",
            "fax_number": "206-322-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BROADWAY E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023906",
            "telephone_number": "206-323-7131",
            "fax_number": "206-322-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE PARK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "PALM",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-323-7131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd's Counseling Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christopher Gordon Roach, PA-C
• Cindy Sue Roach
• John J Roach, M.D.
• Road to Healing Psychiatric LLC
• Florence Roan, MD
• Diana Roar, MA 60758945
• James F. Roark Jr., M.D.
• Megan Roark
• Chester Mark Robachinski, M.D.
• Zeinaba Abdulkadir Robale

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, 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 May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.