Active NPI
Corin R Owens, LICSW
- Professional Counselor
- Des Moines, WA
National Provider Identifier
1912445784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 60655975
- Practice address
- 618 S 223Rd St Ste 6
Des Moines, WA 98198-6241 - Phone
- (206) 326-0080
- NPI assigned
- Feb 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Professional Counselor | 101YP2500X | 60655975 | WA | Primary |
Addresses
Primary practice location
618 S 223Rd St Ste 6
Des Moines, WA 98198-6241
Mailing address
205 S 210TH St
Des Moines, WA 98198-2900
Phone (206) 326-0080
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60655975 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1912445784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S 210TH ST",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981982900",
"telephone_number": "206-326-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S 223RD ST STE 6",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981986241",
"telephone_number": "206-326-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "CORIN",
"middle_name": "R",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "60655975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.