Individual provider Active NPI

David Simonsen, PH.D M.S. LMFT

  • Marriage & Family Therapist
  • Olympia, WA
National Provider Identifier
1396004503
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00001940 Issued in WA
Practice address
1800 Cooper Point Rd SW Ste 20B
Olympia, WA 98502-1039
Phone
(360) 280-9227
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00001940 WA Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW Ste 20B
Olympia, WA 98502-1039

Mailing address

2345 Carpenter Rd NE
Olympia, WA 98516-3863
Phone (360) 280-9227

Other practice location 1

201 NE Park Plaza Dr Ste 200
Vancouver, WA 98684-5871
Phone (360) 280-9227

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LF00001940WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Solutions Counseling 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.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1396004503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 CARPENTER RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985163863",
            "telephone_number": "360-280-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 20B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021039",
            "telephone_number": "360-280-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NE Park Plaza Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986845871",
            "country_code": "US",
            "telephone_number": "360-280-9227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONSEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D M.S. LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.