Active NPI
Carleigh Marie Cameron Pratt
- Marriage & Family Therapist
- Tumwater, WA
National Provider Identifier
1689230401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF61330299
- Practice address
- 6004 Capitol Blvd SE
Tumwater, WA 98501-8520 - Phone
- (360) 704-7580
- Fax
- (360) 704-7567
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61330299 | WA | Primary |
Addresses
Primary practice location
6004 Capitol Blvd SE
Tumwater, WA 98501-8520
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135081 | Medicaid | WA |
Other names 1
- Carleigh Marie Cameron
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
| License | State | Type | Specialty |
|---|---|---|---|
| LF61330299 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1689230401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6004 CAPITOL BLVD SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985018520",
"telephone_number": "360-704-7580",
"fax_number": "360-704-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "CARLEIGH",
"middle_name": "MARIE CAMERON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61330299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2135081",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLEIGH",
"last_name": "CAMERON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.