Active NPI
Rebecca Adele Mizhir, MFT
- Marriage & Family Therapist
- Port Townsend, WA
National Provider Identifier
1295036515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60171923
- Practice address
- 430 Cass St
Port Townsend, WA 98368-8111 - Phone
- (360) 301-2558
- Fax
- (360) 379-2754
- NPI assigned
- Nov 3, 2010
- 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 | LF60171923 | WA | Primary |
Addresses
Primary practice location
430 Cass St
Port Townsend, WA 98368-8111
Mailing address
430 Cass St
Port Townsend, WA 98368-8111
Phone (360) 301-2558
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60171923 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1295036515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 CASS ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983688111",
"telephone_number": "360-301-2558",
"fax_number": "360-379-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 CASS ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983688111",
"telephone_number": "360-301-2558",
"fax_number": "360-379-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZHIR",
"first_name": "REBECCA",
"middle_name": "ADELE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60171923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Townsend, WA
- Vanessa Marie Miller, MA
- Katherine Macomber Millman, L.M.P.
- Arory J Milyard, PHARMD
- Mindwise Medicine LLC (Bear Root Apothecary and Wellness Center)
- Benjamin Charles Miscavage, PT
- Elisheva Rena Moch, MA, LMHC, ATR
- Dune H Mohr, RN
- Harvey Lee Montgomery
- Jennifer Montjoy, NURSE PRACTITIONER
- Fletcher Brady Moore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.