Individual provider Active NPI

Bryant Christlieb, LFMT, MHP

  • Marriage & Family Therapist
  • Des Moines, WA
National Provider Identifier
1245666494
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
60968302 Issued in WA
Practice address
26401 Pacific Hwy S
Des Moines, WA 98198-9247
Phone
(206) 408-5338
Fax
(253) 839-1344
NPI assigned
Sep 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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 60968302 WA Primary

Addresses

Primary practice location

26401 Pacific Hwy S
Des Moines, WA 98198-9247

Mailing address

26401 Pacific Hwy S
Des Moines, WA 98198-9247
Phone (206) 408-5338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207002893 WA Practitioner - Marriage and Family Therapist 1759724628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Cities Counseling and ConsultationGroup PAC ID 6406842053, 53 clinicians

Practice addresses (Care Compare)

26401 Pacific Hwy S
Suite 202
Des Moines, WA 98198-9247
Phone (253) 833-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60968302WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cities Counseling and Consultation CurrentSince Jan 2, 2024 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

26401 Pacific Hwy S
Ste 202
Des Moines, WA 98198

26401 Pacific Hwy S
Des Moines, WA 98198
Phone (206) 609-0656

1335 Cole St
Enumclaw, WA 98022
Phone (206) 408-5237

325 W Gowe St
Kent, WA 98032

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1245666494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26401 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989247",
            "telephone_number": "206-408-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989247",
            "telephone_number": "206-408-5338",
            "fax_number": "253-839-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTLIEB",
        "first_name": "BRYANT",
        "credential": "LFMT, MHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "60968302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.