Active NPI
Northwest Samartians
- Marriage & Family Therapist
- Burien, WA
National Provider Identifier
1124065404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00000938
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryNPI 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.