Individual provider Active NPI

Kristin Cherry Jackson, LMFT

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1073214433
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF70014165 Issued in WA
Practice address
1607 Dexter Ave N Ste 1C
Seattle, WA 98109-6202
Phone
(425) 405-5169
NPI assigned
Mar 13, 2023
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 LF70014165 WA Primary

Addresses

Primary practice location

1607 Dexter Ave N Ste 1C
Seattle, WA 98109-6202

Mailing address

1607 Dexter Ave N Ste 1C
Seattle, WA 98109-6202
Phone (206) 351-3199

Other practice location 1

6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423
Phone (253) 363-8853

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
LF70014165WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Transitions L.L.C. Marriage & Family Therapist CurrentSince Mar 1, 2023 Accepting new patients

Locations

6201 Pacific Ave
Ste C3
Tacoma, WA 98408
Phone (253) 363-1453

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1073214433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 DEXTER AVE N STE 1C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096202",
            "telephone_number": "206-351-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 DEXTER AVE N STE 1C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096202",
            "telephone_number": "425-405-5169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Pacific Ave Ste C3",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984087423",
            "country_code": "US",
            "telephone_number": "253-363-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERRY JACKSON",
        "first_name": "KRISTIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF70014165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.