Active NPI
Robert Cicero Son, RC
- Professional Counselor
- Tukwila, WA
National Provider Identifier
1659523900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- RC00054669
- Practice address
- 6100 Southcenter Blvd
Sound Mental Health, Suite 200
Tukwila, WA 98188-2441 - Phone
- (206) 444-7800
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | RC00054669 | WA | Primary |
Addresses
Primary practice location
6100 Southcenter Blvd
Sound Mental Health, Suite 200
Tukwila, WA 98188-2441
Mailing address
1600 E Olive St
Sound Mental Health
Seattle, WA 98122-2735
Phone (206) 302-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| RC00054669 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1659523900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E OLIVE ST",
"address_2": "SOUND MENTAL HEALTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222735",
"telephone_number": "206-302-2200",
"fax_number": "206-302-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 SOUTHCENTER BLVD",
"address_2": "SOUND MENTAL HEALTH, SUITE 200",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882441",
"telephone_number": "206-444-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SON",
"first_name": "ROBERT",
"middle_name": "CICERO",
"credential": "RC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "RC00054669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.