Active NPI
Omid Roustaei, MA LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1437351335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60151748
- Practice address
- 5416 17TH Ave SW
Seattle, WA 98106-1540 - Phone
- (206) 228-6797
- NPI assigned
- Jun 3, 2007
- 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 | LH60151748 | WA | Primary |
Addresses
Primary practice location
5416 17TH Ave SW
Seattle, WA 98106-1540
Mailing address
5416 17TH Ave SW
Seattle, WA 98106-1540
Phone (206) 228-6797
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 |
|---|---|---|---|
| LH60151748 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1437351335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5416 17TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061540",
"telephone_number": "206-228-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5416 17TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061540",
"telephone_number": "206-228-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSTAEI",
"first_name": "OMID",
"name_prefix": "Mr.",
"credential": "MA LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-03",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60151748",
"primary": true
}
],
"identifiers": [],
"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 Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.