Individual provider Active NPI

Rebecca Ann Skrifvars, M.A., LMFT, CEDS

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1477882348
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60297280 Issued in WA
Practice address
1200 5TH Ave Ste 800
Seattle, WA 98101-3136
Phone
(206) 374-0109
NPI assigned
Dec 23, 2009
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 61909 CA
Marriage & Family Therapist 106H00000X LF60297280 WA Primary

Addresses

Primary practice location

1200 5TH Ave Ste 800
Seattle, WA 98101-3136

Mailing address

16300 Mill Creek Blvd
Suite 112
Mill Creek, WA 98012-1737
Phone (425) 686-9221

Other names 1

  • Rebecca Ann Grover Former name

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

LicenseStateTypeSpecialty
LF60297280WAMDMarriage & Family Therapist
61909CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1477882348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 MILL CREEK BLVD",
            "address_2": "SUITE 112",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121737",
            "telephone_number": "425-686-9221",
            "fax_number": "425-984-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 5TH AVE STE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013136",
            "telephone_number": "206-374-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRIFVARS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "M.A., LMFT, CEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "61909",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60297280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GROVER",
            "middle_name": "ANN",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 11, 2016; 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.