Liliana Tackett, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF61163819 Issued in WA

Practice address

12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950

Phone

(206) 925-3410

NPI assigned

May 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Liliana Fung Lung Former name

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 Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Tulips and Stuffies Therapy PLLC

  • Marriage & Family Therapist
  • Kirkland, WA
  • NPI 1972373991
  NPD Authorized official
• Clare Matrix

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1235349267
  NPD (past)

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1376980813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 113TH AVE NE STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346950",
            "telephone_number": "206-925-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 113TH AVE NE STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346950",
            "telephone_number": "206-925-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "LILIANA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61163819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIANA",
            "last_name": "FUNG LUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Synergy Wellness Center
• Wyn Ta
• Reza Tabibi, MD
• Karen Rae Tabler, LMP
• Silvia Tacchini
• Cheryl Tacoronte, LMP
• Fikirte Assaye Taddesse
• Michael C. Taggart, D.C.
• Harvey Michael Taicz, RPH
• Charlie Taing

• Marriage & Family Therapist in Kirkland, WA
• Providers in Kirkland, 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 Jan 2, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.