Individual provider Active NPI

Lori Janet Vanderburg, M.S.

  • Marriage & Family Therapist
  • Lynnwood, WA
National Provider Identifier
1144339896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00001559 Issued in WA
Practice address
19031 33Rd Ave W
Suite 303
Lynnwood, WA 98036-4731
Phone
(425) 640-7919
Fax
(425) 640-9087
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00001559 WA Primary

Addresses

Primary practice location

19031 33Rd Ave W
Suite 303
Lynnwood, WA 98036-4731

Mailing address

1638 N 183Rd St
Shoreline, WA 98133-4608
Phone (206) 909-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LF00001559WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Counseling Associates, PLLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144339896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 N 183RD ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334608",
            "telephone_number": "206-909-1301",
            "fax_number": "425-349-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W",
            "address_2": "SUITE 303",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364731",
            "telephone_number": "425-640-7919",
            "fax_number": "425-640-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBURG",
        "first_name": "LORI",
        "middle_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.