Active NPI
Cindy Trogden Reis, M.A., M.F.T
- Marriage & Family Therapist
- Redmond, WA
National Provider Identifier
1235340100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00000870
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235340100 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC29226 | CA | MD | Marriage & Family Therapist |
| LF00000870 | WA | MD | Marriage & 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.