Individual provider Active NPI

Barbarann Gabrielle Kuik, LMFTA, PHD-C

  • Marriage & Family Therapist
  • Yelm, WA
National Provider Identifier
1548701055
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61401812. Issued in WA
Practice address
15310 92ND Ave SE Ste 2
Yelm, WA 98597-8210
Phone
(719) 237-1833
Fax
(719) 237-1833
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 MG61401812. WA Primary

Addresses

Primary practice location

15310 92ND Ave SE Ste 2
Yelm, WA 98597-8210

Mailing address

15310 92ND Ave SE Ste 2
Yelm, WA 98597-8210
Phone (719) 237-1833

Other identifiers 1

IdentifierTypeStateIssuer
MG61401812.OtherWAWASHINGTON DEPARTMENT OF HEALTH

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

LicenseStateTypeSpecialty
MG61401812.WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1548701055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15310 92ND AVE SE STE 2",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978210",
            "telephone_number": "719-237-1833",
            "fax_number": "719-237-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 92ND AVE SE STE 2",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978210",
            "telephone_number": "719-237-1833",
            "fax_number": "719-237-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIK",
        "first_name": "BARBARANN",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "LMFTA, PHD-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61401812.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "MG61401812.",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.