Individual provider Active NPI

Mark Ferrer, LMFT

  • Marriage & Family Therapist
  • Gig Harbor, WA
National Provider Identifier
1154693174
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60818350 Issued in WA
Practice address
4411 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1703
Phone
(253) 851-3808
Fax
(253) 851-3188
NPI assigned
Feb 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LF60818350 WA Primary

Addresses

Primary practice location

4411 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1703

Mailing address

821 Dock Street
PMB 3-14
Tacoma, WA 98402
Phone (203) 559-7854

Other practice location 1

141 Franklin St
Stamford, CT 06901-1014
Phone (203) 602-4441 ext. 2201

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

LicenseStateTypeSpecialty
LF60818350WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154693174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DOCK STREET",
            "address_2": "PMB 3-14",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98402",
            "telephone_number": "203-559-7854",
            "fax_number": "253-851-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR NW STE 307",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-3808",
            "fax_number": "253-851-3188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069011014",
            "country_code": "US",
            "telephone_number": "203-602-4441 x2201",
            "fax_number": "203-602-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRER",
        "first_name": "MARK",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60818350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.