Active NPI
Jerilyn Jo Carstairs, MED., LMFT
- Marriage & Family Therapist
- Vashon, WA
National Provider Identifier
1174825558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF 00001068
- Practice address
- 13018 SW Cove Rd
Vashon, WA 98070-3752 - Phone
- (206) 567-4667
- NPI assigned
- Nov 17, 2010
- Last updated
- Nov 17, 2010
- 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 | LF 00001068 | WA | Primary |
Addresses
Primary practice location
13018 SW Cove Rd
Vashon, WA 98070-3752
Mailing address
13018 SW Cove Rd
Vashon, WA 98070-3752
Phone (206) 567-4667
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF 00001068 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1174825558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13018 SW COVE RD",
"city": "VASHON",
"state": "WA",
"postal_code": "980703752",
"telephone_number": "206-567-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13018 SW COVE RD",
"city": "VASHON",
"state": "WA",
"postal_code": "980703752",
"telephone_number": "206-567-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSTAIRS",
"first_name": "JERILYN",
"middle_name": "JO",
"credential": "MED., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF 00001068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vashon, WA
- Rachel Jessica Caplan-Erickson, N.D., EAMP
- Elmer J. Carlson, D.C.
- Kim Michelle Carner, ARNP
- Cristina Vallejo Carnie
- Carrie on Physical Therapy PLLC
- Chad Magnuson MD PLLC (Chad Magnuson Family Medicine)
- Scott J Chaffin, D.O.
- Carrie A Chambers, PT
- Bridgett Ann Chandler, ARNP
- Kathleen M. Chandler, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.