Active NPI
Nicole Denise Pullen-Umhra, LMFTA
- Marriage & Family Therapist
- Tacoma, WA
National Provider Identifier
1093376766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG60956276
- Practice address
- 4301 S Pine St Ste 30-08
Tacoma, WA 98409-9123 - Phone
- (253) 301-4983
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG60956276 | WA | Primary |
Addresses
Primary practice location
4301 S Pine St Ste 30-08
Tacoma, WA 98409-9123
Mailing address
4301 S Pine St Ste 30-08
Tacoma, WA 98409-9123
Phone (253) 301-4983
Other practice location 1
12511 Meridian E Ste 201
Puyallup, WA 98373-3425
Phone (253) 881-1428
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
| License | State | Type | Specialty |
|---|---|---|---|
| MG60956276 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon Y Young, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Puyallup, WA
- NPI 1073902714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1093376766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 S PINE ST STE 30-08",
"city": "TACOMA",
"state": "WA",
"postal_code": "984099123",
"telephone_number": "253-301-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 S PINE ST STE 30-08",
"city": "TACOMA",
"state": "WA",
"postal_code": "984099123",
"telephone_number": "253-301-4983"
}
],
"practiceLocations": [
{
"address_1": "12511 Meridian E Ste 201",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983733425",
"country_code": "US",
"telephone_number": "253-881-1428",
"fax_number": "253-446-7137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULLEN-UMHRA",
"first_name": "NICOLE",
"middle_name": "DENISE",
"credential": "LMFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG60956276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.