Individual provider Active NPI

Tiffany Ann Classen, MA, LMFT

  • Marriage & Family Therapist
  • Mountlake Terrace, WA
National Provider Identifier
1679942379
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60920891 Issued in WA
Practice address
22725 44TH Ave W Ste 202
Mountlake Terrace, WA 98043-4500
Phone
(425) 616-2383
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 LF60920891 WA Primary

Addresses

Primary practice location

22725 44TH Ave W Ste 202
Mountlake Terrace, WA 98043-4500

Mailing address

22725 44TH Ave W Ste 202
Mountlake Terrace, WA 98043-4500
Phone (425) 616-2383

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LF60920891WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynnwood Child and Family Therapy PLLC Marriage & Family Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

16825 48th Ave W
Ste 308
Lynnwood, WA 98037

19730 64th Ave W
Ste 100
Lynnwood, WA 98036

22725 44th Ave W
Ste 202
Mountlake Terrace, WA 98043
Phone (425) 245-8507

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1679942379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 202",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "425-616-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 202",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "425-616-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASSEN",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60920891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.