Individual provider Active NPI

Robert Omwando Omare

  • Mental Health Counselor
  • Milton, WA
National Provider Identifier
1629653290
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NC60910262 Issued in WA
Practice address
7224 Pacific Hwy E
Milton, WA 98354-9654
Phone
(253) 220-6183
NPI assigned
Mar 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NC60910262 WA Primary

Addresses

Primary practice location

7224 Pacific Hwy E
Milton, WA 98354-9654

Mailing address

34230 1St PL S Apt D
Federal Way, WA 98003-4424
Phone (206) 825-4032

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
NC60910262WAMDMental Health Counselor

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": "1615766400000",
    "number": "1629653290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34230 1ST PL S APT D",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034424",
            "telephone_number": "206-825-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 PACIFIC HWY E",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549654",
            "telephone_number": "253-220-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARE",
        "first_name": "ROBERT",
        "middle_name": "OMWANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "NC60910262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.