Individual provider Active NPI

Deanna Christine Dudley-Ross, LMFT

  • Marriage & Family Therapist
  • Edmonds, WA
National Provider Identifier
1073024535
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102048 Issued in CA
Practice address
131 3Rd Ave N Ste 101
Edmonds, WA 98020-3208
Phone
(949) 945-0466
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 LF61376566 WA
Marriage & Family Therapist 106H00000X 102048 CA Primary

Addresses

Primary practice location

131 3Rd Ave N Ste 101
Edmonds, WA 98020-3208

Mailing address

131 3Rd Ave N Ste 101
Edmonds, WA 98020-3208
Phone (949) 945-0466

Other names 1

  • Deanna Christine Holloway Former name

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
102048CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1073024535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 3RD AVE N STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203208",
            "telephone_number": "949-945-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 3RD AVE N STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203208",
            "telephone_number": "949-945-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY-ROSS",
        "first_name": "DEANNA",
        "middle_name": "CHRISTINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61376566",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "HOLLOWAY",
            "middle_name": "CHRISTINE",
            "credential": "MFTI, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 24, 2026; 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.