Active NPI
Evergreen Therapy PLLC
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1124895602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- EVERGREEN THERAPY PLLC
- Practice address
- 4501 15TH Ave S Ste 103
Seattle, WA 98108-1874 - Phone
- (253) 254-5227
- NPI assigned
- Dec 5, 2023
- 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
- Alisha M Bachman, LMFT
- Title
- Owner
- Phone
- (253) 254-5227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
4501 15TH Ave S Ste 103
Seattle, WA 98108-1874
Mailing address
4501 15TH Ave S Ste 103
Seattle, WA 98108-1874
Phone (253) 254-5227
Other names 1
- Evergreen Therapy PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Seattle, WA
- NPI 1053821298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701734400000",
"number": "1124895602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 15TH AVE S STE 103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081874",
"telephone_number": "253-254-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 15TH AVE S STE 103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081874",
"telephone_number": "253-254-5227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A",
"authorized_official_last_name": "BACHMAN",
"authorized_official_first_name": "ALISHA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-254-5227",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Evergreen Therapy PLLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
- Evergreen Eye Center, PLLC
- Evergreen Eye Center, PLLC
- Evergreen Housing Solutions Incorporated
- Evergreen Psychiatric Services, PLLC
- Evergreen Psychology, PLLC
- Evergreen Treatment Services
- Evergreen Treatment Services
- Evergreen Treatment Services Unit 2
- Evergreen Treatment Services Unit 3
- Evergreen Treatment Services Unit 4
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.