Martha Griswold McGovern, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60760164 Issued in WA

Practice address

6523 21St Ave NE Apt 3
Seattle, WA 98115-6924

Phone

(206) 321-8696

NPI assigned

Mar 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mindy McGovern Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 14, 2024 through Jan 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1205330131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 WELLESLEY WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157626",
            "telephone_number": "206-412-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 21ST AVE NE APT 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156924",
            "telephone_number": "206-321-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "MARTHA",
        "middle_name": "GRISWOLD",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60760164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "MCGOVERN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dvorah McGorski
• Ellen L. McGough, PT
• Mary Elizabeth McGough
• David McGovern, MD
• Leslie A McGovern, MA
• Dorothea McGowan, MD
• Julie McGowan, LSWAIC
• Kember Leigh McGowan, ARNP
• Krystal McGrady, APRN CNP
• Christine Marie McGrann, CRNA

• Marriage & Family Therapist in Seattle, WA
• Providers in Seattle, 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 Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.