Active NPI
Antonia Sloan
- Marriage & Family Therapist
- Ellensburg, WA
National Provider Identifier
1225190879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 60538431
- Practice address
- 109 E 3Rd Ave
Ellensburg, WA 98926-3357 - Phone
- (209) 471-2765
- NPI assigned
- Dec 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT84378 | CA | |
| Marriage & Family Therapist | 106H00000X | 60538431 | WA | Primary |
Addresses
Primary practice location
109 E 3Rd Ave
Ellensburg, WA 98926-3357
Mailing address
109 E 3Rd Ave
Ellensburg, WA 98926-3357
Phone (209) 471-2765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT84378 | CA | MD | Marriage & Family Therapist |
| 60538431 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1225190879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E 3RD AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263357",
"telephone_number": "209-471-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E 3RD AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263357",
"telephone_number": "209-471-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "ANTONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT84378",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "60538431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.