Alexandria Packard, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61566060 Issued in WA

Practice address

301 W North Bend Way Ste 109
North Bend, WA 98045-8163

Phone

(206) 518-2849

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1275363897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14616 450TH AVE SE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459765",
            "telephone_number": "206-518-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W NORTH BEND WAY STE 109",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458163",
            "telephone_number": "206-518-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "ALEXANDRIA",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61566060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy A Oban Bear, PTA
• Patrick Howard Odonnell, DDS
• Eric J Opsvig, D.D.S.
• Frankie Eugene Orr, LMP
• Elena Kathaleen Overland, LMP
• Tatianna Para, LMT
• Jenna Laurize Patterson, CDP
• Gereg A Pfiffner, DC
• Phases Clinic, PLLC
• Ann Plana, MA, LMHCA

• Marriage & Family Therapist in North Bend, WA
• Providers in North Bend, 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 Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.