Individual provider Active NPI

Elizabeth Dana Meyer, MA

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1528319142
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG60283254 Issued in WA
Practice address
4618 S Chicago St
Seattle, WA 98118-4114
Phone
(206) 853-7976
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG60283254 WA Primary

Addresses

Primary practice location

4618 S Chicago St
Seattle, WA 98118-4114

Mailing address

14201 SE Petrovitsky Rd Ste A3
Renton, WA 98058-8986
Phone (206) 853-7976

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
MG60283254WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matter Therapeutic Group PLLC Current Accepting new patients

Locations

14201 SE Petrovitsky Rd
Ste A3
Renton, WA 98058
Phone (253) 234-7090

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1528319142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 SE PETROVITSKY RD STE A3",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588986",
            "telephone_number": "206-853-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 S CHICAGO ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184114",
            "telephone_number": "206-853-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ELIZABETH",
        "middle_name": "DANA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60283254",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 2, 2023; 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.