Krystal Ashley Davis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60312435 Issued in WA

Practice address

1210 SW 136TH St
Burien, WA 98166-1214

Phone

(206) 257-6673

NPI assigned

Aug 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Krystal Ashley Millet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1215285085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16710 NE 79TH ST STE 103",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524466",
            "telephone_number": "425-298-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SW 136TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661214",
            "telephone_number": "206-257-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRYSTAL",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60165473",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60312435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "MILLET",
            "middle_name": "ASHLEY",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Pius Thomas DMD MPH PLLC (David Thomas DMD)
• Kathleen David
• Bruce L Davidson, MD
• Davis Dental Health
• George Max Davis, DDS
• Martha Louise Davis, MSW
• Phyllis Davis, CDP
• Davita Nephrology Medical Associates of Washington PC (DaVita Nephrology Partners)
• Dawn Rose Counseling, PLLC
• Michael De Haan, M.D.

• Marriage & Family Therapist in Burien, WA
• Providers in Burien, 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 Jul 11, 2014; 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.