MR. BRYAN MUDIMBWA JAHAVA (NPI# 1871192757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871192757 |
| Entity Type | Individual |
| Full Name | MR. BRYAN MUDIMBWA JAHAVA |
| Credential | BA |
| Practice Address |
851 Poplar Pl S Seattle WA 98144-2827 |
| Practice Telephone | 2069147559 |
| Mailing Telephone | 2069147559 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | WDL5SBZ7013B | WA | Behavioral Health & Social Service Providers |
| Street Address |
851 POPLAR PL S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508374711 | Lauren Vansparrentak | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2018-01-22 |
| 1568077600 | Katy J Harland | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2020-09-15 |
| 1841802188 | Samantha Michaels | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2020-08-18 |
| 1770103640 | Luther A Mitchell-walker | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2020-04-21 |
| 1225667876 | Clare Gleason | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2020-04-06 |
| 1235764838 | Marc Samuelsson | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2020-03-04 |
| 1811520844 | Mark Tulensru Tolenoa | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2020-02-18 |
| 1184264640 | Margaret Elizabeth Rodgers | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2020-01-13 |
| 1851937080 | Stephanie Lynn Coons | Counselor | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2019-11-22 |
| 1164073409 | Deidre Fontaine Miller | Social Worker | 851 Poplar Pl S, Seattle, WA 98144-2827 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
| Find all providers in zip 98144 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on MR. BRYAN MUDIMBWA JAHAVA.
| 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.