Individual provider Active NPI

Robert Edgar Deeble, MA, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1861541765
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60090293 Issued in WA
Practice address
1900 NW Dock PL Ste 3
Folktown Counseling
Seattle, WA 98107-4813
Phone
(206) 274-5889
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X RC00051199 WA
Mental Health Counselor 101YM0800X LH60090293 WA Primary

Addresses

Primary practice location

1900 NW Dock PL Ste 3
Folktown Counseling
Seattle, WA 98107-4813

Mailing address

1900 NW Dock PL Ste 3
Folktown Counseling
Seattle, WA 98107-4813
Phone (206) 274-5889

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 8, 2024 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60090293WAMDMental Health Counselor
RC00051199WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Folktown Counseling LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1861541765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NW DOCK PL STE 3",
            "address_2": "FOLKTOWN COUNSELING",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074813",
            "telephone_number": "206-274-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NW DOCK PL STE 3",
            "address_2": "FOLKTOWN COUNSELING",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074813",
            "telephone_number": "206-274-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEBLE",
        "first_name": "ROBERT",
        "middle_name": "EDGAR",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00051199",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60090293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.