Individual provider Active NPI

Jessica Milian, MG60886656

  • Marriage & Family Therapist
  • Tacoma, WA
National Provider Identifier
1245708882
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG60886656 Issued in WA
Practice address
6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423
Phone
(253) 363-1453
NPI assigned
Nov 12, 2018
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 MG60886656 WA Primary

Addresses

Primary practice location

6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423

Mailing address

31310 36TH Ave SW
Federal Way, WA 98023-2102
Phone (360) 632-6077

Other names 1

  • Jessica Smarra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 7, 2024 through Nov 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MG60886656WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Transitions L.L.C. Marriage & Family Therapist PastSince Apr 11, 2021 Accepting new patients

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1245708882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31310 36TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232102",
            "telephone_number": "360-632-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 PACIFIC AVE STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087423",
            "telephone_number": "253-363-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILIAN",
        "first_name": "JESSICA",
        "credential": "MG60886656",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60886656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SMARRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.