Individual provider Active NPI

Robert Ewanio, SUDP

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1902616162
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60136644 Issued in WA
Practice address
401 5TH Ave Ste 400
Seattle, WA 98104-2377
Phone
(206) 477-6161
NPI assigned
Jan 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60202409 WA
Mental Health Counselor 101YM0800X MC60136644 WA Primary

Addresses

Primary practice location

401 5TH Ave Ste 400
Seattle, WA 98104-2377

Mailing address

401 5TH Ave Ste 400
Seattle, WA 98104-2377
Phone (206) 477-6161

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
CP60202409WAMDAddiction (Substance Use Disorder) Counselor
MC60136644WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
King County Dept. Community & Human Services CurrentSince Jan 12, 2025 Accepting new patients

Locations

401 5th Ave
Ste 400
Seattle, WA 98104
Phone (206) 263-9200

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": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1902616162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 5TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042377",
            "telephone_number": "206-477-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 5TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042377",
            "telephone_number": "206-477-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWANIO",
        "first_name": "ROBERT",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60202409",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60136644",
            "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 Jan 9, 2025; 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.