Organization Active NPI

Integrated Therapy NW PLLC

  • Marriage & Family Therapist
  • Spokane, WA
National Provider Identifier
1144091687
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INTEGRATED THERAPY NW PLLC
Practice address
6821 N Country Homes Blvd Ste 101
Spokane, WA 99208-4373
Phone
(509) 821-0947
NPI assigned
Jan 12, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Daisy Marie Swanson, LMFTNPI 1154796241
Title
Owner
Phone
(509) 821-0947

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

6821 N Country Homes Blvd Ste 101
Spokane, WA 99208-4373

Mailing address

2007 E Leona Dr
Spokane, WA 99208-8574
Phone (509) 821-0947

Other names 1

  • Centered Lives PLLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1144091687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 E LEONA DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088574",
            "telephone_number": "509-821-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084373",
            "telephone_number": "509-821-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY NW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-821-0947",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centered Lives PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.