Individual provider Active NPI

Caitlin B Vincent, LMFT CDP

  • Marriage & Family Therapist
  • Renton, WA
National Provider Identifier
1083083596
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60568982 Issued in WA
Practice address
200 Mill Ave S
Suite 10
Renton, WA 98057-2175
Phone
(425) 226-5062
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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 LF60568982 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60457201 WA

Addresses

Primary practice location

200 Mill Ave S
Suite 10
Renton, WA 98057-2175

Mailing address

200 Mill Ave S
Suite 10
Renton, WA 98057-2175
Phone (425) 226-5062

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
CP60457201WAMDAddiction (Substance Use Disorder) Counselor
LF60568982WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
King County Sexual Assault Resource Center Past Accepting new patients
King County Sexual Assault Resource Center Past Accepting new patients

Organizations & group practices 2

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1083083596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL AVE S",
            "address_2": "SUITE 10",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572175",
            "telephone_number": "425-226-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILL AVE S",
            "address_2": "SUITE 10",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572175",
            "telephone_number": "425-226-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "CAITLIN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LMFT CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60568982",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60457201",
            "primary": false
        }
    ],
    "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 Sep 15, 2015; 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.