Organization Active NPI

Family Focus

  • Marriage & Family Therapist
  • Edmonds, WA
National Provider Identifier
1053620153
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FAMILY FOCUS
Practice address
9657 Firdale Avenue
Edmonds, WA 98020-6519
Phone
(206) 629-4065
Fax
(360) 698-9296
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Shannon T Crockett, LMFT
Title
Program Director
Phone
(425) 771-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

9657 Firdale Avenue
Edmonds, WA 98020-6519

Mailing address

PO Box 2784
Silverdale, WA 98383-2784
Phone (206) 629-4065

National Provider Directory

National Provider Directory

Locations

9657 Firdale Ave
Edmonds, WA 98020
Phone (206) 629-4065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1053620153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2784",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983832784",
            "telephone_number": "206-629-4065",
            "fax_number": "360-698-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9657 FIRDALE AVENUE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980206519",
            "telephone_number": "206-629-4065",
            "fax_number": "360-698-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "425-771-6600",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.