Active NPI
Jonathan Assouline, MA, LMHCA, MHP
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1346965829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61227951
- Practice address
- 105B W Main Ste 115
Puyallup, WA 98371-5329 - Phone
- (253) 544-5335
- NPI assigned
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61227951 | WA | Primary |
Addresses
Primary practice location
105B W Main Ste 115
Puyallup, WA 98371-5329
Mailing address
14907 74TH Street CT E
Sumner, WA 98390-8233
Phone (509) 280-3925
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61227951 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1346965829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14907 74TH STREET CT E",
"city": "SUMNER",
"state": "WA",
"postal_code": "983908233",
"telephone_number": "509-280-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105B W MAIN STE 115",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715329",
"telephone_number": "253-544-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSOULINE",
"first_name": "JONATHAN",
"credential": "MA, LMHCA, MHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61227951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.