Active NPI
Susan Raab-Cohen, PHD
- Counseling Psychologist
- Seattle, WA
National Provider Identifier
1669565354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 828
- Practice address
- 2003 Western Ave.
Suite 340
Seattle, WA 98121-2213 - Phone
- (206) 443-9810
- Fax
- (206) 448-4899
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 828 | WA | Primary |
Addresses
Primary practice location
2003 Western Ave.
Suite 340
Seattle, WA 98121-2213
Mailing address
2003 Western Ave.
Suite 340
Seattle, WA 98121-2213
Phone (206) 443-9810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 828 | Other | WA | PSYCHOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828 | WA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669565354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 WESTERN AVE.",
"address_2": "SUITE 340",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212213",
"telephone_number": "206-443-9810",
"fax_number": "206-448-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 WESTERN AVE.",
"address_2": "SUITE 340",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212213",
"telephone_number": "206-443-9810",
"fax_number": "206-448-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAAB-COHEN",
"first_name": "SUSAN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "828",
"state": "WA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.