Whidbey Island Therapy Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

60474081 Issued in WA

Legal business name

WHIDBEY ISLAND THERAPY CENTER

Practice address

5548 Myrtle Ave
Ste 101
Freeland, WA 98249-8776

Phone

(360) 969-9722

NPI assigned

Apr 27, 2016

Last updated

Apr 27, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Susan Houck Strom, LMFT, ATRNPI 1922136043

Title

Ex. Director

Phone

(310) 722-7063

Specialties & licenses 1

Addresses

Other names 1

• WITC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Houck Strom, LMFT, ATR

  • Marriage & Family Therapist
  • Langley, WA
  • NPI 1922136043
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1003261991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1579",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982491579",
            "telephone_number": "360-969-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 MYRTLE AVE",
            "address_2": "STE 101",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982498776",
            "telephone_number": "360-969-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHIDBEY ISLAND THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "HOUCK STROM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EX. DIRECTOR",
        "authorized_official_telephone_number": "310-722-7063",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, ATR"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "60474081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WITC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Nellist Walker, MA CCC
• Rui Wang
• Washington CVS Pharmacy LLC (CVS Pharmacy #11645)
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Medical Equipment Supply LLC
• Whidbey Performance Physical Therapy, PLLC
• Whidbey Productions Inc. Dba Whidbey Massage Therapy (Whidbey Massage Therapy)
• Whidbey Vision Care Inc PS
• William Alan Wien, DO

• Marriage & Family Therapist in Freeland, WA
• Providers in Freeland, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.