Individual provider Active NPI

Joseph R Eiben, LMHC

  • Counselor
  • Seattle, WA
National Provider Identifier
1568726040
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LH60512309 Issued in WA
Practice address
1633 Bellevue Ave
Unit a
Seattle, WA 98122-6818
Phone
(206) 999-6408
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5814 CO
Counselor 101Y00000X LH60512309 WA Primary

Addresses

Primary practice location

1633 Bellevue Ave
Unit a
Seattle, WA 98122-6818

Mailing address

109 30TH Ave
Apt a
Seattle, WA 98122-6228
Phone (206) 999-6408

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

State licenses

LicenseStateTypeSpecialty
LH60512309WAMDCounselor
5814COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1568726040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 30TH AVE",
            "address_2": "APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226228",
            "telephone_number": "206-999-6408",
            "fax_number": "206-999-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 BELLEVUE AVE",
            "address_2": "UNIT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226818",
            "telephone_number": "206-999-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBEN",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5814",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60512309",
            "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 Dec 7, 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.