Wayne C Swanson, LMFTA, CDP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF61152760 Issued in WA

Practice address

5455 Almira Dr NE
Bremerton, WA 98311-8330

Phone

(360) 373-5031

NPI assigned

Aug 14, 2018

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kitsap Mental Health Services

  • Community/Behavioral Health Agency
  • Bremerton, WA
  • NPI 1033268008
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1235619859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 NE PLUM ST",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929709",
            "telephone_number": "360-990-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 ALMIRA DR NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118330",
            "telephone_number": "360-373-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6534 NE Plum St",
            "address_purpose": "LOCATION",
            "city": "Suquamish",
            "state": "WA",
            "postal_code": "983929709",
            "country_code": "US",
            "telephone_number": "360-990-8655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "WAYNE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LMFTA, CDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60821517",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61152760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MG60821517",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Sutcliffe, ATC
• Ronald Sutherland
• Michael Swann, MS, LMHC, NCC, CRC
• Jeanette Swanson
• John Swanson
• Meg Swart, MA
• Katherine Marie Swarthwood, M.S.
• Stella Swartz
• Terence Stephen Swiatkowski, DMD
• J David Swift, MD

• Marriage & Family Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.