Individual provider Active NPI

Troy A Huffman

  • Marriage & Family Therapist
  • Tacoma, WA
National Provider Identifier
1447597612
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60659528 Issued in WA
Practice address
6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423
Phone
(253) 363-1453
Fax
(253) 292-1919
NPI assigned
Jan 8, 2013
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 LF60659528 WA Primary

Addresses

Primary practice location

6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423

Mailing address

6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423
Phone (253) 363-1453

Other identifiers 1

IdentifierTypeStateIssuer
2155957MedicaidWA

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

LicenseStateTypeSpecialty
LF60659528WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Transitions L.L.C. Mental Health CurrentSince Apr 11, 2021 Accepting new patients

Locations

6201 Pacific Ave
Ste C3
Tacoma, WA 98408
Phone (253) 363-1453

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1447597612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 PACIFIC AVE STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087423",
            "telephone_number": "253-363-1453",
            "fax_number": "253-292-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 PACIFIC AVE STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087423",
            "telephone_number": "253-363-1453",
            "fax_number": "253-292-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "TROY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60659528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155957",
            "state": "WA"
        }
    ],
    "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 Apr 7, 2021; 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.