Mackenzie Frances Bannister, MFT-A

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61570171 Issued in WA

Practice address

312 11TH Ave W Ste 201
Kirkland, WA 98033-5326

Phone

(425) 576-1817

NPI assigned

Oct 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Family Psychological Services of Kirkland, PS

  • Clinical Neuropsychologist
  • Kirkland, WA
  • NPI 1376661025
  NPD

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1194547794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 11TH AVE W STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335326",
            "telephone_number": "425-576-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 11TH AVE W STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335326",
            "telephone_number": "425-576-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "MACKENZIE",
        "middle_name": "FRANCES",
        "credential": "MFT-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61570171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Bakke
• Constance P Ballou, OTR/L CHT
• Brandon Balmelli, DPT
• Zsuzsanna Klara Balogh, RN
• David Banaszak
• Rachel Hyeon-Lee Banta
• Mersadez Barajas
• Barbara S Ireland DDS PS
• Andrew Buhl Barbour, M.D., PHD
• Kristen Elisse Barcenas

• Marriage & Family Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.