Active NPI
Amy Jenelle Crook, LMFT
- Marriage & Family Therapist
- Tacoma, WA
National Provider Identifier
1346468055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00001983
- Practice address
- 6532 Dash Point Blvd NE
Tacoma, WA 98422-1334 - Phone
- (406) 350-2094
- Fax
- (406) 535-6048
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LF00001983 | WA | Primary |
Addresses
Primary practice location
6532 Dash Point Blvd NE
Tacoma, WA 98422-1334
Mailing address
1911 SW Campus Dr # 376
Federal Way, WA 98023-6473
Phone (406) 350-2094
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 |
|---|---|---|---|
| LF00001983 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federal Way Psychology Clinic | Past | 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 and National Provider Directory roles.
-
- Clinical Psychologist
- Federal Way, WA
- NPI 1962674010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1346468055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 SW CAMPUS DR # 376",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980236473",
"telephone_number": "406-350-2094",
"fax_number": "065-356-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6532 DASH POINT BLVD NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984221334",
"telephone_number": "406-350-2094",
"fax_number": "406-535-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOK",
"first_name": "AMY",
"middle_name": "JENELLE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.