1487096178 NPI number — DR. KRISTOFFER JOHN ALMAZAN ROUSE PHD, MA, LMHC

Table of content: DR. KRISTOFFER JOHN ALMAZAN ROUSE PHD, MA, LMHC (NPI 1487096178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487096178 NPI number — DR. KRISTOFFER JOHN ALMAZAN ROUSE PHD, MA, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROUSE
Provider First Name:
KRISTOFFER
Provider Middle Name:
JOHN ALMAZAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, MA, LMHC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROUSE
Provider Other First Name:
KRISTOFFER
Provider Other Middle Name:
JOHN ALMAZAN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1487096178
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1700 NW GILMAN BLVD STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ISSAQUAH
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98027-5364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-496-6109
Provider Business Mailing Address Fax Number:
425-295-7637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1700 NW GILMAN BLVD STE 205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ISSAQUAH
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98027-5364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-496-6109
Provider Business Practice Location Address Fax Number:
425-295-7637
Provider Enumeration Date:
07/23/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH60560653 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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