Organization Active NPI

Northwest Samartians

  • Marriage & Family Therapist
  • Burien, WA
National Provider Identifier
1124065404
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00000938 Issued in WA
Legal business name
NORTHWEST SAMARTIANS
Practice address
12854 Shorewood Dr SW
Burien, WA 98146-3016
Phone
(800) 860-5380
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gilbert Sandy, LMFT
Title
Executive Director
Phone
(800) 860-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LF00000938 WA Primary

Addresses

Primary practice location

12854 Shorewood Dr SW
Burien, WA 98146-3016

Mailing address

12854 Shorewood Dr SW
Burien, WA 98146-3016
Phone (800) 860-5380

Other names 1

  • Berean Institute Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1124065404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12854 SHOREWOOD DR SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463016",
            "telephone_number": "800-860-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12854 SHOREWOOD DR SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463016",
            "telephone_number": "800-860-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SAMARTIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "SANDY",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-860-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berean Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.