MS. MARLINE ROSTOM (NPI# 1679811152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679811152 |
Entity Type | Individual |
Full Name | MS. MARLINE ROSTOM |
Credential | MA, LMHC |
Practice Address |
7631 212th St Sw Suite 108c Edmonds WA 98026-7565 |
Mailing Address |
8490 Mukilteo Speedway Suite 203 Mukilteo WA 98275-3206 |
Practice Telephone | 4259774988 |
Enumeration Date | 2013-01-18 |
Last Update Date | 2015-02-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | MC60143626 | WA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60143626 | WA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
MC60143626 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WA DEPARTMENT OF HEALTH | LH60335071 | 01 |
Street Address |
7631 212TH ST SW SUITE 108C |
City | EDMONDS |
State | WA |
Zip Code | 98026-7565 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093799678 | Jennifer Phuong Ngai | Dentist | 7631 212th St Sw, Suite 112c, Edmonds, WA 98026-7565 | 2005-12-06 |
1265953657 | Brooke Larsen | Massage Therapist | 7631 212th St Sw, Edmonds, WA 98026-7565 | 2017-07-06 |
1083019301 | Edmonds-woodway Chiropractic LLC | Chiropractor | 7631 212th St Sw, 105b, Edmonds, WA 98026-7565 | 2014-10-29 |
1134549025 | Kristopher Martin Lane | Chiropractor | 7631 212th St Sw, 105b, Edmonds, WA 98026-7565 | 2014-04-18 |
1740582402 | Thomas Wade Strother | Dentist | 7631 212th St Sw, 109-c, Edmonds, WA 98026-7565 | 2010-11-30 |
1265691711 | Tong Lu | Acupuncturist | 7631 212th St Sw, Ste. 111-c, Edmonds, WA 98026-7565 | 2008-06-09 |
1487708244 | Cornerstone Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 7631 212th St Sw, Suite 102a, Edmonds, WA 98026-7565 | 2007-01-22 |
1225189459 | Silver Needle Acupuncture, Inc. | Acupuncturist | 7631 212th St Sw, Suite C, #111, Edmonds, WA 98026-7565 | 2007-01-15 |
1790875508 | Sean C Salazar | Chiropractor | 7631 212th St Sw, Ste. 108c, Edmonds, WA 98026-7565 | 2006-10-13 |
1245320605 | Rutillo O. Chaves Jr. | Dentist | 7631 212th St Sw, Suite 101-a, Edmonds, WA 98026-7565 | 2006-10-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
Find all providers in zip 98026 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770107377 | Nicole Ivancovich | Counselor | 9523 232nd St Sw, Edmonds, WA 98020-5028 | 2020-05-31 |
1790305407 | Rhonda Furlong | Counselor | 7907 212th St Sw Ste 220, Edmonds, WA 98026-7541 | 2020-04-22 |
1114551348 | Denise Ibrahim | Counselor | 7631 212th St Sw Ste 101a, Edmonds, WA 98026-7565 | 2020-02-26 |
1407493034 | Ian Jacobson | Counselor | 131 3rd Ave N Ste 103, Edmonds, WA 98020-3208 | 2019-12-02 |
1396200275 | Stacie Apple Counseling Pllc | Counselor | 406 Main St Ste 111, Edmonds, WA 98020-3166 | 2019-02-05 |
1164993416 | Deborah Mccaughan Fields | Counselor | 7907 212th St Sw Ste 209a, Edmonds, WA 98026-7540 | 2018-12-16 |
1265910566 | Cherezade Smalley | Counselor | 21727 76th Ave W Ste J, Edmonds, WA 98026-7545 | 2018-07-30 |
1831615822 | Paul Gebben | Counselor | 100 2nd Ave S Ste 140, Edmonds, WA 98020-8439 | 2017-08-21 |
1588106256 | Barb A Anderson, Lmhc, LLC | Counselor | 9331 244th St Sw Apt T304, Edmonds, WA 98020-7545 | 2016-11-13 |
1386192078 | Kristin Ott | Counselor | 23317 Edmonds Way, Apt 1, Edmonds, WA 98026-8689 | 2016-09-12 |
Find all providers in EDMONDS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.