Marilyn Freida Fenn, MA, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LF60256546 Issued in WA

Practice address

1520 Jefferson Street
Port Townsend, WA 98368-8152

Phone

(360) 390-8337

Fax

(360) 447-6030

NPI assigned

Oct 28, 2008

Last updated

Oct 13, 2015By the provider in NPPES

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 identifiers 2

Other names 1

• Marilyn Freida Fenn 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 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1225281892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 JEFFERSON STREET",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "360-390-8337",
            "fax_number": "360-447-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 JEFFERSON STREET",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983688152",
            "telephone_number": "360-390-8337",
            "fax_number": "360-447-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "MARILYN",
        "middle_name": "FREIDA",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF 60256546",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF60256546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12733314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LMFT LICENSE NUMBER",
            "identifier": "LF 60256546",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "FENN",
            "middle_name": "FREIDA",
            "credential": "MA, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellen Falconer, LMP
• Gillian Nicole Farrell, MSW
• Aaron Joseph Feit, LICSW
• Carma Feland, M.S.
• Leanne Felts
• Mary Sarah Ferguson, M.D.
• Michael C Ferguson, LMP
• Tonya M Ferguson, COUNSELOR AGENCY AFF
• Ficus Counseling, PLLC Dba Cascara Counseling, PLLC (Cascara Counseling, PLLC)
• Kelsie Fitzpatrick

• Mental Health Counselor in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.