Individual provider Active NPI

Ridwan Loyan Abdullahi

  • Counselor
  • Kent, WA
National Provider Identifier
1679409247
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
20551 121St Way SE
Kent, WA 98031-4187
Phone
(612) 592-2929
NPI assigned
Jun 22, 2026
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

20551 121St Way SE
Kent, WA 98031-4187

Mailing address

20551 121St Way SE
Kent, WA 98031-4187
Phone (612) 592-2929

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2026.

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1679409247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20551 121ST WAY SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314187",
            "telephone_number": "612-592-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20551 121ST WAY SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314187",
            "telephone_number": "612-592-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAHI",
        "first_name": "RIDWAN",
        "middle_name": "LOYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.