Individual provider Active NPI

Rachelle Lim

  • Marriage & Family Therapist
  • Everett, WA
National Provider Identifier
1447749239
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
61088532 Issued in WA
Practice address
12414 Highway 99 Ste 209
Everett, WA 98204-8511
Phone
(360) 453-7385
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 61088532 WA Primary

Addresses

Primary practice location

12414 Highway 99 Ste 209
Everett, WA 98204-8511

Mailing address

14710 46TH Ave NE
Marysville, WA 98271-6170
Phone (360) 453-7385

Other practice location 1

14710 46th Ave NE
Marysville, WA 98271-6170
Phone (360) 453-7385

Other practice location 2

5296 University Ave Ste F2
San Diego, CA 92105-2269
Phone (619) 578-2211

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
61088532WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1447749239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14710 46TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982716170",
            "telephone_number": "360-453-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 HIGHWAY 99 STE 209",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048511",
            "telephone_number": "360-453-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14710 46th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982716170",
            "country_code": "US",
            "telephone_number": "360-453-7385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5296 University Ave Ste F2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921052269",
            "country_code": "US",
            "telephone_number": "619-578-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "RACHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "61088532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.