Healthcare Provider Details

I. General information

NPI: 1356262935
Provider Name (Legal Business Name): BEN JOSEPH JOSIE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5227 BALLARD AVE NW STE 6
SEATTLE WA
98107-4847
US

IV. Provider business mailing address

1318 N 78TH ST
SEATTLE WA
98103-4844
US

V. Phone/Fax

Practice location:
  • Phone: 206-817-9257
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70146712
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: