Individual provider Active NPI

Stephanie Munizza, MA

  • Marriage & Family Therapist
  • Tacoma, WA
National Provider Identifier
1174857858
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60521654 Issued in WA
Practice address
223 N Yakima Ave
Tacoma, WA 98403-2230
Phone
(253) 307-9111
NPI assigned
Sep 28, 2009
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 LF60521654 WA Primary

Addresses

Primary practice location

223 N Yakima Ave
Tacoma, WA 98403-2230

Mailing address

223 N Yakima Ave
Tacoma, WA 98403-2230
Phone (253) 307-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LF60521654WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Marriage & Family Therapist PastSince Aug 26, 2022 Accepting new patients
Rainier Associates Partnership Marriage & Family Therapist PastSince Oct 8, 2015 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1174857858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032230",
            "telephone_number": "253-307-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032230",
            "telephone_number": "253-307-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZZA",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60521654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.