Individual provider Active NPI

Hannah S Dornbusch Jr.

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1730659145
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61009955 Issued in WA
Practice address
1255 Harrison St Apt 226
Seattle, WA 98109-5994
Phone
(413) 824-2810
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X MC61009955 WA Primary

Addresses

Primary practice location

1255 Harrison St Apt 226
Seattle, WA 98109-5994

Mailing address

1255 Harrison St Apt 226
Seattle, WA 98109-5994
Phone (413) 824-2810

Other practice location 1

1210 SW 136th St
Burien, WA 98166-1214
Phone (206) 257-6909 ext. 6909

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
MC61009955WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1730659145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 HARRISON ST APT 226",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095994",
            "telephone_number": "413-824-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HARRISON ST APT 226",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095994",
            "telephone_number": "413-824-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 SW 136th St",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661214",
            "country_code": "US",
            "telephone_number": "206-257-6909 x6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORNBUSCH",
        "first_name": "HANNAH",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61009955",
            "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 May 6, 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.