MUSTAFA KHEDHER MOHAMMED (NPI# 1720597594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720597594 |
| Entity Type | Individual |
| Full Name | MUSTAFA KHEDHER MOHAMMED |
| Credential | MD,MHP,AAC |
| Practice Address |
10803 Se Kent Kangley Rd Ste 101 Kent WA 98030-7194 |
| Mailing Address |
9630 S 221st Pl Kent WA 98031-1946 |
| Practice Telephone | 2534877562 |
| Practice Fax Number | 2534877562 |
| Mailing Telephone | 2534877562 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG60490518 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591308 | Mustafa Mohammed | Student in an Organized Health Care Education/Training Program | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2019-04-07 |
| Street Address |
10803 SE KENT KANGLEY RD STE 101 |
| City | KENT |
| State | WA |
| Zip Code | 98030-7194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028235 | David J Smith | Counselor | 841 Central Ave N # C114, Kent, WA 98032-2016 | 2020-03-18 |
| 1457999856 | Lieschan Ann Hansen | Counselor | 841 Central Ave N # C-114, Kent, WA 98032-2016 | 2019-12-16 |
| 1487210183 | Jerome Finkley | Counselor | 619 1st Ave S Apt 6, Kent, WA 98032-6159 | 2019-05-17 |
| 1366940694 | Danielle Marie Giles | Counselor | 5980 Rhodes Rd, Kent, OH 44240-8100 | 2018-02-01 |
| 1073031373 | Phyllis Ann Vair | Counselor | 135 E Erie St Ste 302, Kent, OH 44240-3594 | 2017-09-07 |
| 1962875393 | Azmi Jaafar | Counselor | 124 4th Ave S Ste 230, Kent, WA 98032-5907 | 2015-11-06 |
| 1538561386 | Kathryn Kong | Counselor | 841 Central Ave N Ste C100, Kent, WA 98032-2016 | 2014-09-24 |
| 1003221011 | Kevin Sosa | Counselor | 25029 144th Pl Se, Kent, WA 98042-3425 | 2014-06-27 |
| 1801218599 | Maiya Marilee Hale | Counselor | 841 Central Ave N Ste C209, Kent, WA 98032-2016 | 2014-01-14 |
| 1366873507 | Michelle Culley | Counselor | 1550 S Lincoln St, Kent, OH 44240-4528 | 2013-12-12 |
| Find all providers in KENT | ||||
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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.