Austin Edge

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00001767 Issued in WA

Practice address

18333 Bothell Way NE Apt 420
Bothell, WA 98011-1943

Phone

(206) 948-5025

NPI assigned

Feb 4, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Optimallife Wellness Center

  • Marriage & Family Therapist
  • Bellevue, WA
  • NPI 1851417810
  NPD (past)

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1033923610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 BOTHELL WAY NE APT 420",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 BOTHELL WAY NE APT 420",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111943",
            "telephone_number": "206-948-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 130th Ave NE Ste 240",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980051718",
            "country_code": "US",
            "telephone_number": "425-646-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGE",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Rivers Wellness PLLC
• Megan Anne Ebel, O.D.
• Mona Ebrahimi, LMHC
• Buckley A Eckert, M.D.
• Eclectec Innovations LLC
• Christopher Edward, MS
• Eg Biomed US Inc
• Lisa Marie Egbert, DDS
• Daniel Eggert, D.D.S
• Audrey Egusa

• Marriage & Family Therapist in Bothell, WA
• Providers in Bothell, 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 Feb 7, 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.