Individual provider Active NPI

Fernanda Gabriela Prado Lopez Aristi, LMFTA

  • Marriage & Family Therapist
  • Renton, WA
National Provider Identifier
1013490184
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT151059 Issued in CA
Practice address
17616 SE 186TH Way
Renton, WA 98058-9543
Phone
(206) 294-9695
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG61041174 WA
Marriage & Family Therapist 106H00000X LMFT151059 CA Primary

Addresses

Primary practice location

17616 SE 186TH Way
Renton, WA 98058-9543

Mailing address

1444 Suwerte Ave
Chula Vista, CA 91915-1416
Phone (206) 294-9695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT151059CAMDMarriage & Family Therapist
MG61041174WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services of Western Washington Past 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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1013490184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 SUWERTE AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151416",
            "telephone_number": "206-294-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17616 SE 186TH WAY",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589543",
            "telephone_number": "206-294-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO LOPEZ ARISTI",
        "first_name": "FERNANDA",
        "middle_name": "GABRIELA",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61041174",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT151059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.