Active NPI
Elizabeth Tillack Mackend, MS, LMFT
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1265650337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF 60142712
- Practice address
- 2366 Eastlake Ave E
Areis BLDG., Ste 216.
Seattle, WA 98102-3366 - Phone
- (206) 601-2647
- NPI assigned
- Apr 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF 60142712 | WA | Primary |
Addresses
Primary practice location
2366 Eastlake Ave E
Areis BLDG., Ste 216.
Seattle, WA 98102-3366
Mailing address
28311 NE Roney Rd
Duvall, WA 98019-8181
Phone (425) 788-0527
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF 60142712 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1265650337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28311 NE RONEY RD",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198181",
"telephone_number": "425-788-0527",
"fax_number": "425-788-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2366 EASTLAKE AVE E",
"address_2": "AREIS BLDG., STE 216.",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023366",
"telephone_number": "206-601-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEND",
"first_name": "ELIZABETH",
"middle_name": "TILLACK",
"name_prefix": "Ms.",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF 60142712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.