Individual provider Active NPI

Stephen Plotz, LMFTA

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1447885066
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61191357 Issued in WA
Practice address
3417 Evanston Ave N Ste 429
Seattle, WA 98103-8970
Phone
(360) 517-7272
NPI assigned
Mar 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X MG61191357 WA Primary

Addresses

Primary practice location

3417 Evanston Ave N Ste 429
Seattle, WA 98103-8970

Mailing address

3417 Evanston Ave N Ste 429
Seattle, WA 98103-8970
Phone (360) 517-7272

Other practice location 1

123 NW 36th St Ste 210
Seattle, WA 98107-4959
Phone (206) 402-5767

Other practice location 2

6450 NE Radford Dr Apt 525
Seattle, WA 98115-5019
Phone (360) 517-7272

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
MG61191357WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

123 NW 36th St
Ste 210
Seattle, WA 98107
Phone (206) 329-2050

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1447885066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 429",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038970",
            "telephone_number": "360-517-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 429",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038970",
            "telephone_number": "360-517-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 NW 36th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981074959",
            "country_code": "US",
            "telephone_number": "206-402-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 NE Radford Dr Apt 525",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981155019",
            "country_code": "US",
            "telephone_number": "360-517-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOTZ",
        "first_name": "STEPHEN",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61191357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.