Active NPI
Fariba Ghorbani, LMHC
- Adult Mental Health Clinic/Center
- Seattle, WA
National Provider Identifier
1881840510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- LH00007523
- Practice address
- 3245 Fairview Ave E
Suite 200
Seattle, WA 98102 - Phone
- (206) 781-6696
- NPI assigned
- Aug 13, 2008
- 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 |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | LH00007523 | WA | Primary |
Addresses
Primary practice location
3245 Fairview Ave E
Suite 200
Seattle, WA 98102
Mailing address
19307 65TH Ave NE
Kenmore, WA 98028
Phone (206) 781-6696
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00007523 | WA | MD | Adult Mental Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1881840510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19307 65TH AVE NE",
"city": "KENMORE",
"state": "WA",
"postal_code": "98028",
"telephone_number": "206-781-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 FAIRVIEW AVE E",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98102",
"telephone_number": "206-781-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHORBANI",
"first_name": "FARIBA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "WA",
"license": "LH00007523",
"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 Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.