Individual provider Active NPI

Mary Jane Gassert, MS, LMFT

  • Marriage & Family Therapist
  • Renton, WA
National Provider Identifier
1235284241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002036 Issued in WA
Practice address
321 Burnett Ave S # 207
Renton, WA 98055-2558
Phone
(206) 920-2016
Fax
(425) 430-8113
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00002036 WA Primary

Addresses

Primary practice location

321 Burnett Ave S # 207
Renton, WA 98055-2558

Mailing address

321 Burnett Ave S # 207
Renton, WA 98055-2558
Phone (206) 920-2016

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LF00002036WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235284241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BURNETT AVE S # 207",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980552558",
            "telephone_number": "206-920-2016",
            "fax_number": "425-430-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BURNETT AVE S # 207",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980552558",
            "telephone_number": "206-920-2016",
            "fax_number": "425-430-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSERT",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.