Active NPI
Bethany Nicole Tubbs
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1194175000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60900990
- Practice address
- 5306 Ballard Ave NW Ste 319
Seattle, WA 98107 - Phone
- (415) 579-3223
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60900990 | WA | Primary |
| Marriage & Family Therapist | 106H00000X | MG60675593 | WA |
Addresses
Primary practice location
5306 Ballard Ave NW Ste 319
Seattle, WA 98107
Mailing address
5306 Ballard Ave NW Ste 319
Seattle, WA 98107-4366
Phone (415) 579-3223
Other practice location 1
5502 34th Ave NE
Seattle, WA 98105-2305
Phone (206) 420-7345
Other practice location 2
5502 34th Ave NE
Seattle, WA 98105-2305
Phone (206) 420-7345
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 |
|---|---|---|---|
| LF60900990 | WA | MD | Marriage & Family Therapist |
| MG60675593 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallowell Todaro Center PLLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1689024580
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1194175000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5306 BALLARD AVE NW STE 319",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074366",
"telephone_number": "415-579-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 BALLARD AVE NW STE 319",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98107",
"telephone_number": "415-579-3223"
}
],
"practiceLocations": [
{
"address_1": "5502 34th Ave NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981052305",
"country_code": "US",
"telephone_number": "206-420-7345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5502 34th Ave NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981052305",
"country_code": "US",
"telephone_number": "206-420-7345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUBBS",
"first_name": "BETHANY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60900990",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG60675593",
"primary": false
}
],
"identifiers": [],
"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 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.