NPIMap

Organization Active NPI

Sea Change Therapy, PLLC

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1194459115
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SEA CHANGE THERAPY, PLLC
Practice address
3614 California Ave SW Ste B
Seattle, WA 98116-3780
Phone
(206) 705-3060
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Jenny Cooke MalstromNPI 1174987465
Title
Owner
Phone
(206) 705-3060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3614 California Ave SW Ste B
Seattle, WA 98116-3780

Mailing address

3614 California Ave SW Ste B
Seattle, WA 98116-3780
Phone (206) 705-3060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1194459115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 CALIFORNIA AVE SW STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163780",
            "telephone_number": "206-705-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 CALIFORNIA AVE SW STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163780",
            "telephone_number": "206-705-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CHANGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "COOKE MALSTROM",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-705-3060"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 12, 2025; 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.