JUSTIN P IBRAHIM (NPI# 1861985418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861985418 |
| Entity Type | Individual |
| Full Name | JUSTIN P IBRAHIM |
| Credential | CPC - PEER COUNSELOR |
| Practice Address |
4120 Stone Way N Seattle WA 98103-8014 |
| Practice Telephone | 2064613707 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4120 STONE WAY N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588824775 | Joel G Berman | Nurse Practitioner | 4120 Stone Way N, Seattle, WA 98103-8014 | 2008-06-11 |
| 1457828543 | Kristie Weisert | Counselor | 4120 Stone Way N, Seattle, WA 98103-8014 | 2018-10-27 |
| 1275020919 | Michelle Sakala Webber | Case Manager/Care Coordinator | 4120 Stone Way N, Seattle, WA 98103-8014 | 2018-04-18 |
| 1508365834 | Joan Kathleen Trettenero | Case Manager/Care Coordinator | 4120 Stone Way N, Seattle, WA 98103-8014 | 2018-02-01 |
| 1316445240 | Cassandra Thorpe | Counselor | 4120 Stone Way N, Seattle, WA 98103-8014 | 2018-01-25 |
| 1891200648 | Jennifer Ann St. Cyr | Social Worker | 4120 Stone Way N, Seattle, WA 98103-8014 | 2017-12-01 |
| 1306361001 | Joel Johnson Killough | Counselor | 4120 Stone Way N, Seattle, WA 98103-8014 | 2017-08-03 |
| 1235652371 | Elena Catherine Eveslage | Counselor | 4120 Stone Way N, Seattle, WA 98103-8014 | 2017-07-20 |
| 1831611607 | Kirstie A Arnberg | Counselor | 4120 Stone Way N, Seattle, WA 98103-8014 | 2017-07-12 |
| 1508393026 | Mark Houston Goins | Counselor | 4120 Stone Way N, Seattle, WA 98103-8014 | 2017-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| 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 |
|---|---|---|---|---|
| 1154920734 | Kayla Robin Daffon | Counselor | 2464 S College St Apt 1, Seattle, WA 98144-4764 | 2020-10-23 |
| 1184223463 | Mai Okano | Counselor | 929 N 130th St, Seattle, WA 98133-7500 | 2020-10-19 |
| 1952917676 | Christy Marie Saevivat | Counselor | 2641 42nd Ave Sw Apt 416, Seattle, WA 98116-4607 | 2020-09-17 |
| 1811501208 | Chelsea Gene Whipple | Counselor | 3925 Wallingford Ave N, Seattle, WA 98103-8247 | 2020-09-02 |
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1043823974 | Jonathan G Huerta | Counselor | 9108 2nd Ave Ne, Seattle, WA 98115-2709 | 2020-08-29 |
| 1053924191 | Claire Sanchez | Counselor | 2033 6th Ave # 609, Seattle, WA 98121-2573 | 2020-08-28 |
| 1790397156 | Jaymie Rojas-luna | Counselor | 4634 E Marginal Way S # 4636, Seattle, WA 98134-2398 | 2020-08-18 |
| 1013526821 | Kimberly Kong | Counselor | 919 S King St, Seattle, WA 98104-3040 | 2020-07-28 |
| 1891303418 | Chloe Mae Caswell | Counselor | 3501 Rainier Ave S, Seattle, WA 98144-3555 | 2020-07-20 |
| Find all providers in SEATTLE | ||||
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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.