Individual provider Active NPI

Richard Mark Golosinskiy, LMHC

  • Mental Health Counselor
  • Camas, WA
National Provider Identifier
1932617693
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61487896 Issued in WA
Practice address
327 NE 5TH Ave Ste B
Camas, WA 98607-2030
Phone
(360) 712-3756
NPI assigned
Jan 16, 2018
Reactivated
Jun 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH61487896 WA Primary

Addresses

Primary practice location

327 NE 5TH Ave Ste B
Camas, WA 98607-2030

Mailing address

5264 NE 121St Ave Apt 79
Vancouver, WA 98682-2179
Phone (360) 712-3756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 13, 2024 through Feb 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH61487896WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Counseling Single Specialty 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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1932617693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5264 NE 121ST AVE APT 79",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822179",
            "telephone_number": "360-712-3756",
            "fax_number": "360-712-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 NE 5TH AVE STE B",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072030",
            "telephone_number": "360-712-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOSINSKIY",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "deactivation_date": "2018-06-09",
        "reactivation_date": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61487896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.