Individual provider Active NPI

Amy Allison Myers, M.S

  • Marriage & Family Therapist
  • Bellevue, WA
National Provider Identifier
1447535976
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG 60241593 Issued in WA
Practice address
1715 114TH Ave SE
Suite 208
Bellevue, WA 98004-6945
Phone
(425) 922-5605
NPI assigned
Oct 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

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 MG 60241593 WA Primary

Addresses

Primary practice location

1715 114TH Ave SE
Suite 208
Bellevue, WA 98004-6945

Mailing address

1715 114TH Ave SE
Suite 208
Bellevue, WA 98004-6945
Phone (425) 922-5605

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

State licenses

LicenseStateTypeSpecialty
MG 60241593WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1447535976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE",
            "address_2": "SUITE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046945",
            "telephone_number": "425-922-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE",
            "address_2": "SUITE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046945",
            "telephone_number": "425-922-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "AMY",
        "middle_name": "ALLISON",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG 60241593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.