DUSTIN KHANH PHAN LICSWA
NPI 1992517965
Counselor - Mental Health in Seattle, WA

Q: What is Dustin Phan's NPI number?

The NPI number for Dustin Phan is 1992517965. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Q: What is Dustin Phan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Phan was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2025

3800 S OTHELLO ST, SEATTLE, WA 98118(706) 633-0405 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dustin Khanh Phan Licswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN KHANH PHAN LICSWA (NPI 1992517965) is an individual mental health provider in Seattle, Washington, licensed in Washington (SC61599639) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1992517965

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDUSTIN KHANH PHANCredential: LICSWA

Location Address3800 S OTHELLO STSeattle, WA 98118-3562

Mailing Address5630 California Ave Sw Apt 11Seattle, WA 98136-1534 · (706) 633-0405

Phone(706) 633-0405

Sole ProprietorNo

Enumeration DateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1992517965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · SC61599639

3800 S OTHELLO ST, Seattle, WA 98118

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEATTLE'S UNION GOSPEL MISSION

Counselor (Mental Health)

3800 S OTHELLO ST
SEATTLE, WA 98118

King County (206) 432-8412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Phan's NPI number?

The NPI number for Dustin Phan is 1992517965. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Dustin Phan located?

Dustin Phan practices at 3800 S Othello St, Seattle, WA 98118. The listed phone number is (706) 633-0405.

What is Dustin Phan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dustin Phan was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.