Kisa Mullikin, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

61339450 Issued in WA

Practice address

104 W 4TH St Ste 103
Aberdeen, WA 98520-3932

Phone

(360) 590-5472

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1558084376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W PERRY ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985208009",
            "telephone_number": "360-590-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST STE 103",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203932",
            "telephone_number": "360-590-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIKIN",
        "first_name": "KISA",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "61339450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Mowitch
• Robert Moyer
• Walter Eugene Moyer, CO60676277
• Dwight A Mueller
• Rebecca M Muhlhauser
• Isabel Riann Mullins, OTR/L
• Robert Casey Mundt
• Iam Alyster Muri, PA-C
• Shelby Musser, LMP
• Ronald Allen Myers, M.D.

• All providers in Aberdeen, WA
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.