Active NPI
Jane McPhedran, MA, LMFTA
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1457923641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG61194583
- Practice address
- 5022 42ND Ave S
Seattle, WA 98118-1906 - Phone
- (206) 548-4480
- NPI assigned
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG61194583 | WA | Primary |
Addresses
Primary practice location
5022 42ND Ave S
Seattle, WA 98118-1906
Mailing address
5022 42ND Ave S
Seattle, WA 98118-1906
Phone (206) 548-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MG61194583 | Other | WA | DEPARTMENT OF HEALTH- MARRIAGE AND FAMILY THERAPIST ASSOCIATE LICENSE |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG61194583 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1457923641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 42ND AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981181906",
"telephone_number": "206-548-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 42ND AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981181906",
"telephone_number": "206-548-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHEDRAN",
"first_name": "JANE",
"credential": "MA, LMFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG61194583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH- MARRIAGE AND FAMILY THERAPIST ASSOCIATE LICENSE",
"identifier": "MG61194583",
"state": "WA"
}
],
"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 Jul 15, 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.