Individual provider Active NPI

Erin Dwyer, LMFT

  • Marriage & Family Therapist
  • University Place, WA
National Provider Identifier
1003400326
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF61415550 Issued in WA
Practice address
5306 58TH Ave W
University Place, WA 98467-4263
Phone
(253) 881-6688
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF61415550 WA Primary

Addresses

Primary practice location

5306 58TH Ave W
University Place, WA 98467-4263

Mailing address

3800 Bridgeport Way W # 230
University Place, WA 98466-4495
Phone (253) 881-6688

Other practice location 1

21907 64th Ave W Ste 200
Mountlake Terrace, WA 98043-6200
Phone (253) 881-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LF61415550WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Dwyer Consulting, Inc. Marriage & Family Therapist CurrentSince Jul 2, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1003400326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 BRIDGEPORT WAY W # 230",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664495",
            "telephone_number": "253-881-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 58TH AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984674263",
            "telephone_number": "253-881-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21907 64th Ave W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980436200",
            "country_code": "US",
            "telephone_number": "253-881-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "ERIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61415550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.