Active NPI
Keith Hackett
- Marriage & Family Therapist
- Vancouver, WA
National Provider Identifier
1497770259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00001437
- Practice address
- 426 E Fourth Plain Blvd
#11
Vancouver, WA 98663-3040 - Phone
- (360) 696-1615
- Fax
- (360) 696-2395
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- 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 | LF00001437 | WA | Primary |
Addresses
Primary practice location
426 E Fourth Plain Blvd
#11
Vancouver, WA 98663-3040
Mailing address
5001 NW Columbia St
Vancouver, WA 98663-1621
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 |
|---|---|---|---|
| LF00001437 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497770259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 NW COLUMBIA ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986631621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 E FOURTH PLAIN BLVD",
"address_2": "#11",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633040",
"telephone_number": "360-696-1615",
"fax_number": "360-696-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "KEITH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, 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.