Active NPI
Jeanne Paik, LF
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1154575611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60231152
- Practice address
- 1417 NW 54TH St Ste 378
Seattle, WA 98107-3575 - Phone
- (206) 657-6125
- NPI assigned
- Nov 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60231152 | WA | Primary |
Addresses
Primary practice location
1417 NW 54TH St Ste 378
Seattle, WA 98107-3575
Mailing address
1417 NW 54TH St Ste 378
Seattle, WA 98107-3575
Phone (206) 657-6125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LF60231152 | Other | WA | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60231152 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1154575611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 NW 54TH ST STE 378",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073575",
"telephone_number": "206-657-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 NW 54TH ST STE 378",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073575",
"telephone_number": "206-657-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "LF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60231152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LF60231152",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.