Individual provider Active NPI

Bridget St John, LMFT

  • Marriage & Family Therapist
  • Puyallup, WA
National Provider Identifier
1659821478
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60906723 Issued in WA
Practice address
105B W Main Ste 115
Puyallup, WA 98371-5329
Phone
(206) 372-7081
NPI assigned
Oct 4, 2016
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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 LF60906723 WA Primary

Addresses

Primary practice location

105B W Main Ste 115
Puyallup, WA 98371-5329

Mailing address

4227 S Meridian
Ste C #176
Puyallup, WA 98373-0366
Phone (206) 372-7081

Other practice location 1

1620 Olympic Hwy N
Shelton, WA 98584-3052
Phone (360) 285-3415

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
LF60906723WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1659821478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 S MERIDIAN",
            "address_2": "STE C #176",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730366",
            "telephone_number": "206-372-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105B W MAIN STE 115",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715329",
            "telephone_number": "206-372-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Olympic Hwy N",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985843052",
            "country_code": "US",
            "telephone_number": "360-285-3415",
            "fax_number": "360-930-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST JOHN",
        "first_name": "BRIDGET",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60906723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.