Individual provider Active NPI

Sefakor Kwame Adzanku

  • Counselor
  • Seattle, WA
National Provider Identifier
1912340258
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CL60298818 Issued in WA
Practice address
5624 7TH Ave NW
Seattle, WA 98107
Phone
(206) 384-4142
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CL60298818 WA Primary

Addresses

Primary practice location

5624 7TH Ave NW
Seattle, WA 98107

Mailing address

10101 Renton Ave S
Seattle, WA 98178-2258
Phone (484) 350-5093

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
CL60298818WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1912340258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 RENTON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981782258",
            "telephone_number": "484-350-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 7TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-384-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADZANKU",
        "first_name": "SEFAKOR",
        "middle_name": "KWAME",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CL60298818",
            "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 Apr 16, 2013; 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.