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Active NPI 1629345004 Individual Practitioner Male Practitioner

Edan Zebooloon , MA, LMHCA

Counselor • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

Edan Zebooloon, MA, LMHCA is a registered healthcare professional specializing in Counselor in Edmonds, WA. Practice services are available at 316 MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

316 Main Street
Suite B

Edmonds, WA 980203197

Telephone 2068410137

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Edmonds, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA MC60163828

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna
12278259

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active November 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2011

Registered at 316 MAIN STREET, SUITE B, EDMONDS, WA 980203197 (Tel: 2068410137)

📍
Updated Business Mailing Address November 29, 2011

Registered at 1326 N 160TH ST., SHORELINE, WA 981335713 (Tel: 2068410137)

👤
Provider Name / Credentials Updated November 29, 2011

Recorded as EDAN ZEBOOLOON, MA, LMHCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2011

Counselor (License #MC60163828 in WA)

🟢
Initial NPI Registration & Enumeration November 29, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629345004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2011
Last Update: November 29, 2011
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1326 N 160th St.

Shoreline, WA 981335713

Phone: 2068410137

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.