Active NPI
Cathy Kirk, RC
- Marriage & Family Therapist
- Tacoma, WA
National Provider Identifier
1487878716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- RC00030404
- Practice address
- 1323 Yakima Ave
Tacoma, WA 98405-4457 - Phone
- (253) 502-2696
- Fax
- (253) 502-2757
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 | RC00030404 | WA | Primary |
Addresses
Primary practice location
1323 Yakima Ave
Tacoma, WA 98405-4457
Mailing address
12904 51St St E
Edgewood, WA 98372-9220
Phone (253) 831-6405
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
| License | State | Type | Specialty |
|---|---|---|---|
| RC00030404 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487878716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12904 51ST ST E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983729220",
"telephone_number": "253-831-6405",
"fax_number": "253-502-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 YAKIMA AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054457",
"telephone_number": "253-502-2696",
"fax_number": "253-502-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "CATHY",
"credential": "RC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "RC00030404",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.