Individual provider Active NPI

Benafsha PSYD Rahimi, MA

  • Counselor
  • Kirkland, WA
National Provider Identifier
1447835079
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC61158623 Issued in WA
Practice address
4030 Lake Washington Blvd NE Ste 303
Kirkland, WA 98033-7870
Phone
(253) 752-7320
NPI assigned
Mar 15, 2021
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC61158623 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4030 Lake Washington Blvd NE Ste 303
Kirkland, WA 98033-7870

Mailing address

5832 W Onyx Ave
Glendale, AZ 85302-1332
Phone (480) 616-8614

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com

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

LicenseStateTypeSpecialty
MC61158623WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Counselor CurrentSince Aug 25, 2024 Accepting new patients
Western Psychological and Counseling Services LLC Counselor PastSince Aug 25, 2024 Accepting new patients

Locations

4030 Lake Washington Blvd NE
Ste 303
Kirkland, WA 98033
Phone (425) 276-2486

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1447835079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 W ONYX AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021332",
            "telephone_number": "480-616-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LAKE WASHINGTON BLVD NE STE 303",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337870",
            "telephone_number": "253-752-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "BENAFSHA PSYD",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61158623",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "200 S 2nd St",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.