Active NPI
Heidi Lorene Phair, M.A.
- Marriage & Family Therapist
- Gig Harbor, WA
National Provider Identifier
1104985365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 020705LF00000802
- Practice address
- 2703 Jahn Ave. NW Suite C4
Gig Harbor, WA 98335 - Phone
- (253) 514-2367
- Fax
- (253) 851-6199
- NPI assigned
- Dec 6, 2006
- 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 | 020705LF00000802 | WA | Primary |
Addresses
Primary practice location
2703 Jahn Ave. NW Suite C4
Gig Harbor, WA 98335
Mailing address
2703 Jahn Ave. NW Suite C4
Gig Harbor, WA 98335
Phone (253) 514-2367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020705LF00000802 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104985365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 JAHN AVE. NW SUITE C4",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98335",
"telephone_number": "253-514-2367",
"fax_number": "253-851-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 JAHN AVE. NW SUITE C4",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98335",
"telephone_number": "253-514-2367",
"fax_number": "253-851-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAIR",
"first_name": "HEIDI",
"middle_name": "LORENE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "020705LF00000802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.