Organization Active NPI

Marriage and Family Life LLC

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1457622797
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60174444 Issued in WA
Legal business name
MARRIAGE AND FAMILY LIFE LLC
Practice address
3102 S 23Rd St
Tacoma, WA 98405-1606
Phone
(253) 355-6619
Fax
(213) 285-6558
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Robert Olsen, LMHCNPI 1235890880
Title
Licenced Mental Health Counselor
Phone
(253) 302-4345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LH60174444 WA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH60174444 WA Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LH60174444 WA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LH60174444 WA

Addresses

Primary practice location

3102 S 23Rd St
Tacoma, WA 98405-1606

Mailing address

8509 Woodlawn Ave SW
Lakewood, WA 98499-2922
Phone (253) 302-4345

National Provider Directory

National Provider Directory

Locations

3102 S 23rd St
Tacoma, WA 98405
Phone (253) 355-6619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1457622797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 WOODLAWN AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992922",
            "telephone_number": "253-302-4345",
            "fax_number": "213-285-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 S 23RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051606",
            "telephone_number": "253-355-6619",
            "fax_number": "213-285-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE AND FAMILY LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LICENCED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "253-302-4345",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60174444",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60174444",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60174444",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LH60174444",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 1, 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.