Organization Active NPI

Tri-Cities Marital and Family Therapy

  • Marriage & Family Therapist
  • Richland, WA
National Provider Identifier
1225687650
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TRI-CITIES MARITAL AND FAMILY THERAPY
Practice address
925 Stevens Dr.
Suite 3a
Richland, WA 99352
Phone
(509) 420-6340
Fax
(509) 319-2502
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Mrs. Cloreese Wilkinson-Rivera, LMHC
Title
Owner
Phone
(509) 420-6340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

925 Stevens Dr.
Suite 3a
Richland, WA 99352

Mailing address

925 Stevens Dr.
Suite 3a
Richland, WA 99352
Phone (509) 420-6340

Other identifiers 1

IdentifierTypeStateIssuer
2047801MedicaidWA

National Provider Directory

National Provider Directory

Locations

925 Stevens Dr
Ste 3A
Richland, WA 99352
Phone (509) 591-5473

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1225687650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 STEVENS DR.",
            "address_2": "SUITE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-420-6340",
            "fax_number": "509-319-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 STEVENS DR.",
            "address_2": "SUITE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-420-6340",
            "fax_number": "509-319-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES MARITAL AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "WILKINSON-RIVERA",
        "authorized_official_first_name": "CLOREESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-420-6340",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047801",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.