Active NPI
Marriage and Family Life LLC
- Mental Health Counselor
- Tacoma, WA
National Provider Identifier
1457622797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60174444
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Olsen, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH60174444 | WA | |
| Mental Health Counselor | 101YM0800X | LH60174444 | WA | Primary |
| Professional Counselor | 101YP2500X | LH60174444 | WA | |
| Marriage & Family Therapist | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Tacoma, WA
- NPI 1235890880
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.