Active NPI
Vermeda Fred, MFT
- Marriage & Family Therapist
- Bellingham, WA
National Provider Identifier
1548620792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60078860
- Practice address
- 1715 C St
Bellingham, WA 98225-4016 - Phone
- (415) 518-4321
- NPI assigned
- Mar 1, 2016
- 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 | LF60078860 | WA | Primary |
Addresses
Primary practice location
1715 C St
Bellingham, WA 98225-4016
Mailing address
1225 E Sunset Dr
Suite 145, #517
Bellingham, WA 98226-3597
Phone (415) 518-4321
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 |
|---|---|---|---|
| LF60078860 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1548620792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E SUNSET DR",
"address_2": "SUITE 145, #517",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982263597",
"telephone_number": "415-518-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 C ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254016",
"telephone_number": "415-518-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRED",
"first_name": "VERMEDA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-01",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60078860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.