NPIMap

Organization Active NPI

Resolve Therapy, LLC

  • Marriage & Family Therapist
  • Bellevue, WA
National Provider Identifier
1679920680
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60342352 Issued in WA
Legal business name
RESOLVE THERAPY, LLC
Practice address
345 118TH Ave SE
Suite 100
Bellevue, WA 98005-3587
Phone
(425) 559-4148
Fax
(425) 968-0606
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Ryan Mebust, MA, LMFT
Title
Owner/Practitioner
Phone
(425) 559-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LF60342352 WA Primary

Addresses

Primary practice location

345 118TH Ave SE
Suite 100
Bellevue, WA 98005-3587

Mailing address

5524 157TH Dr NE
Redmond, WA 98052-5211
Phone (425) 559-4148

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1679920680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 157TH DR NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525211",
            "telephone_number": "425-559-4148",
            "fax_number": "425-968-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 118TH AVE SE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053587",
            "telephone_number": "425-559-4148",
            "fax_number": "425-968-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MEBUST",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "425-559-4148",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60342352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.