Organization Active NPI

Therese Soudant

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1154870194
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG60402146 Issued in WA
Legal business name
THERESE SOUDANT
Practice address
6869 Woodlawn Ave NE
Suite 110
Seattle, WA 98115-5469
Phone
(206) 618-0688
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Therese Soudant, LMFTA
Title
Marriage and Family Therapist
Phone
(206) 618-0688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MG60402146 WA Primary

Addresses

Primary practice location

6869 Woodlawn Ave NE
Suite 110
Seattle, WA 98115-5469

Mailing address

4415 NE 60TH St
Seattle, WA 98115-7603

Other identifiers 1

IdentifierTypeStateIssuer
106H00000XOtherWASOLE PROPRIETORSHIP

National Provider Directory

National Provider Directory

Locations

6869 Woodlawn Ave NE
Ste 110
Seattle, WA 98115
Phone (206) 618-0688

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1154870194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 NE 60TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 WOODLAWN AVE NE",
            "address_2": "SUITE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155469",
            "telephone_number": "206-618-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESE SOUDANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "SOUDANT",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "206-618-0688",
        "authorized_official_credential": "LMFTA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60402146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETORSHIP",
            "identifier": "106H00000X",
            "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 Oct 3, 2016; 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.