Individual provider Active NPI

Roselyne A Ogola-Mwangale, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1821477258
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61285822 Issued in WA
Practice address
5608 17TH Ave NW Ste 1527
Seattle, WA 98107-5232
Phone
(206) 312-9512
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704296484 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10037694 OR
Family Nurse Practitioner 363LF0000X 4704296484 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61285822 WA Primary

Addresses

Primary practice location

5608 17TH Ave NW Ste 1527
Seattle, WA 98107-5232

Mailing address

24463 W 10 Mile Rd
Southfield, MI 48033-2931
Phone (248) 829-9692

Other practice location 1

5608 17th Ave NW Ste 1527
Seattle, WA 98107-5232
Phone (206) 312-9512

Other practice location 2

6149 N Wayne Rd
Westland, MI 48185-7128
Phone (734) 728-2130

Other practice location 3

24463 W 10 Mile Rd
Southfield, MI 48033-2931
Phone (248) 829-9692

Other practice location 4

24463 W 10 Mile Rd
Southfield, MI 48033-2931
Phone (248) 829-9692

Other practice location 5

35 NE Weidler St
Portland, OR 97232-1118
Phone (248) 636-6058

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61285822WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elore Health System LLC Current Accepting new patients
Harmniy Behavioral Health & Wellness Psychiatric/Mental Health Current Accepting new patients

Locations

5608 17th Ave NW
Seattle, WA 98107
Phone (206) 569-0801

Interoperability endpoints

  • Direct secure messaging: rogolamwangale710625@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1821477258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24463 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332931",
            "telephone_number": "248-829-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW STE 1527",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "206-312-9512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5608 17th Ave NW Ste 1527",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075232",
            "country_code": "US",
            "telephone_number": "206-312-9512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6149 N Wayne Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481857128",
            "country_code": "US",
            "telephone_number": "734-728-2130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24463 W 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332931",
            "country_code": "US",
            "telephone_number": "248-829-9692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24463 W 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332931",
            "country_code": "US",
            "telephone_number": "248-829-9692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 NE Weidler St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321118",
            "country_code": "US",
            "telephone_number": "248-636-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGOLA-MWANGALE",
        "first_name": "ROSELYNE",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704296484",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10037694",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704296484",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61285822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.