Active NPI
Ada K Pang, MS
- Marriage & Family Therapist
- Redmond, WA
National Provider Identifier
1205110467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60034558
- Practice address
- 8201 164TH Ave NE
Ste 200
Redmond, WA 98052-7604 - Phone
- (206) 457-3518
- NPI assigned
- Oct 6, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60034558 | WA | Primary |
Addresses
Primary practice location
8201 164TH Ave NE
Ste 200
Redmond, WA 98052-7604
Mailing address
8201 164TH Ave NE
Ste 200
Redmond, WA 98052-7604
Phone (206) 457-3518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60034558 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People Bloom Counseling, PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
8201 164th Ave NE
Ste 200
Redmond, WA 98052
Phone (206) 457-3518
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.
-
- Marriage & Family Therapist
- Redmond, WA
- NPI 1073020079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1205110467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 164TH AVE NE",
"address_2": "STE 200",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527604",
"telephone_number": "206-457-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 164TH AVE NE",
"address_2": "STE 200",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527604",
"telephone_number": "206-457-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "ADA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60034558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.