Ethan Siek Boun · Mental Health Counselor

14803 15th Ave Ne, Shoreline, WA 98155-7110

Overview

Ethan Siek Boun is a Mental Health Counselor practicing in Shoreline, Washington. The National Provider Identifier (NPI) is #1598645764, which was assigned on September 6, 2025, and the registration record was last updated on September 6, 2025. The practitioner's main practice location is at 14803 15th Ave Ne, Shoreline, WA 98155-7110; the contact telephone number is 2063627282. The primary taxonomy of Ethan Siek Boun is Mental Health Counselor (101YM0800X), with specialization in Mental Health.

Provider Information

NPI 1598645764
Entity Type Individual
Provider Name ETHAN SIEK BOUN
Gender Male
Practice Address 14803 15th Ave Ne
Shoreline
WA 98155-7110
Practice Telephone 2063627282
Mailing Address 10347 Midvale Ave N Apt 3
Seattle
WA 98133-9457
Mailing Telephone 4257379748
Certification Date 2025-09-06
Enumeration Date 2025-09-06
Last Update Date 2025-09-06
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YM0800XCounselorMental Health193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

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Location Information

Street Address 14803 15TH AVE NE
City SHORELINE
State WA
Zip Code 98155-7110
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Erica Lynn Harrison 14803 15th Ave Ne, Shoreline, WA 98155-7110Social Worker2020-06-16
Brittani Danielle Cullins 14803 15th Ave Ne, Shoreline, WA 98155-7110Behavior Technician2023-01-02
Jamie Vo 14803 15th Ave Ne, Shoreline, WA 98155-7110Counselor2020-07-22
Susan Graham 14803 15th Ave Ne, Shoreline, WA 98155-7110Mental Health Counselor2025-08-11
Kenya Gamez-Ibarra 14803 15th Ave Ne, Shoreline, WA 98155-7110Counselor2025-05-17
Madison Fleming · Maddie Fleming 14803 15th Ave Ne, Shoreline, WA 98155-7110Clinical Social Worker2025-09-03
Laura Keating 14803 15th Ave Ne, Shoreline, WA 98155-7110Mental Health Counselor2025-09-06
Abigail Morrow 14803 15th Ave Ne, Shoreline, WA 98155-7110Mental Health Counselor2025-08-07

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Rachelle M Friskey 20424 33rd Ave Ne, Lake Forest Park, WA 98155-1543Mental Health Counselor2025-08-08
Natasha Mann 363 Ne 178th St, Shoreline, WA 98155-3519Interpreter2024-12-31
Jonathan Grout 18715 1st Ave Ne, Shoreline, WA 98155-2109Clinical Social Worker2025-05-29
Veronica Sedano Torres 17018 15th Ave. Ne, Shoreline, WA 98155Student in an Organized Health Care Education/Training Program2023-09-08
Christina May Nelson 2465 Ne 182nd Ct, Shoreline, WA 98155-3976Family Nurse Practitioner2020-03-11
Gwendolyn Kathleen Shattuck 19519 38th Ave Ne, Lake Forest Park, WA 98155-2609Massage Therapist2024-11-25
Tyler Youn 20011 Ballinger Way Ne Ste B-100, Shoreline, WA 98155-1286General Practice Dentistry2023-11-27
Maria Alissandra Castro 18322 1st Ave Ne Unit G, Shoreline, WA 98155-3557Behavior Technician2022-11-29
Eric Woodward 352 Ne 192nd St, Shoreline, WA 98155-2129Mental Health Counselor2017-09-12
Northwest Kidney Centers 14524 Bothell Way Ne, Lake Forest Park, WA 98155End-Stage Renal Disease (ESRD) Treatment Clinic/Center2006-10-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.