Individual provider Active NPI

Cindy Trogden Reis, M.A., M.F.T

  • Marriage & Family Therapist
  • Redmond, WA
National Provider Identifier
1235340100
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00000870 Issued in WA
Practice address
25215 NE 52ND PL
Redmond, WA 98053-8519
Phone
(425) 868-3272
Fax
(425) 836-3084
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00000870 WA Primary
Marriage & Family Therapist 106H00000X MFC29226 CA

Addresses

Primary practice location

25215 NE 52ND PL
Redmond, WA 98053-8519

Mailing address

1479 29TH PL NE
Issaquah, WA 98029-3684
Phone (425) 677-7773

Other identifiers 1

IdentifierTypeStateIssuer
1235340100MedicaidWA

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 Arts

State licenses

LicenseStateTypeSpecialty
MFC29226CAMDMarriage & Family Therapist
LF00000870WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1235340100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 29TH PL NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980293684",
            "telephone_number": "425-677-7773",
            "fax_number": "425-677-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25215 NE 52ND PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980538519",
            "telephone_number": "425-868-3272",
            "fax_number": "425-836-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "CINDY",
        "middle_name": "TROGDEN",
        "name_prefix": "Mrs.",
        "credential": "M.A., M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000870",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235340100",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.