Mimi Naeemi, LMHCA, AAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61435649 Issued in WA

Practice address

124 4TH Ave S Ste 230
Kent, WA 98032-5907

Phone

(206) 571-1457

NPI assigned

Mar 23, 2020

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maryam Naeemi Dadkhahan Former name

Electronic endpoints 2

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1447887369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 230",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 230",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325907",
            "telephone_number": "206-571-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 S 188th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Seatac",
            "state": "WA",
            "postal_code": "981884680",
            "country_code": "US",
            "telephone_number": "206-571-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAEEMI",
        "first_name": "MIMI",
        "credential": "LMHCA, AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61435649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ReWA",
            "affiliation": "N",
            "address_1": "124 4th Ave S Ste 230",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980325907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rewa.org",
            "affiliation": "N",
            "address_1": "124 4th Ave S Ste 230",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980325907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "DADKHAHAN",
            "middle_name": "NAEEMI",
            "credential": "LMHCA, AAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Kent, WA
• Providers in Kent, 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 Aug 10, 2023; 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.