Jade Elissa Roslan, L.M.H.C.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60492383 Issued in WA

Practice address

753 N 35TH St
Ste. 307
Seattle, WA 98103-8870

Phone

(206) 319-5696

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1396295457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST",
            "address_2": "STE. 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038870",
            "telephone_number": "206-319-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST",
            "address_2": "STE. 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038870",
            "telephone_number": "206-319-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSLAN",
        "first_name": "JADE",
        "middle_name": "ELISSA",
        "credential": "L.M.H.C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60492383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Rosiene, MD
• Richard Allan Rosin, MD
• Elizabeth A Rosine, LMP
• Emily Roskey, LICSW
• Martin Roskoff, DPT
• Yenny Yustanto Rosli, MD
• Hallie S Rosner, LICSW
• Jeanne A Rosner, PA-C
• Lisa Rosoff, DPT
• Athena Yvonne Rospo, COTA/L, PE

• 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 Oct 12, 2016; 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.