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Active NPI 1235517814 Individual Practitioner Female Practitioner

Kidst S Tasisa

Counselor • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Kidst Tasisa is a registered healthcare professional specializing in Counselor in Seattle, WA. Practice services are available at 1901 MLK JR WAY S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1901 Mlk Jr Way S

Seattle, WA 981444801

Telephone 2063227676
Associated Practice Facility / Clinic
🏢 Therapeutic Health Services Facility NPI 1780208652

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2306 Specialists

Practicing in Seattle, WA (11556 Statewide)

Telehealth Adoption Rate
0.2% 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

CMS Verified: 2023-02-17
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License WA CG60562330

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shiqi Yu

Counselor

NPI 1033037619
Carl Moore , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1033475850
Gina Cohen , LICSW

Social Worker - Clinical

NPI 1033586391

Licensed Independent Clinical Social Worker

NPI 1053242586
NPI 1053286518
NPI 1073879763

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 17, 2023

Registered at 1901 MLK JR WAY S, SEATTLE, WA 981444801 (Tel: 2063227676)

NPI Profile Active May 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2015

Registered at 2103 S ATLANTIC ST, SEATTLE, WA 981443615 (Tel: 2063292050)

📍
Updated Business Mailing Address May 14, 2015

Registered at 2103 S ATLANTIC ST, SEATTLE, WA 981443615

👤
Provider Name / Credentials Updated May 14, 2015

Recorded as KIDST TASISA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2015

Student in an Organized Health Care Education/Training Program (License #CG60562330 in WA)

🟢
Initial NPI Registration & Enumeration May 14, 2015

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: 1235517814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2015
Last Update: February 17, 2023
Sole Proprietor: Yes

Mailing Address

2103 S Atlantic St

Seattle, WA 981443615

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.