Individual provider Active NPI

Rebecca Mae Vermace, LF61609524

  • Marriage & Family Therapist
  • Ridgefield, WA
National Provider Identifier
1689247066
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
PO Box 272
Ridgefield, WA 98642-0272
Phone
(360) 433-9664
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

PO Box 272
Ridgefield, WA 98642-0272

Mailing address

PO Box 272
Ridgefield, WA 98642-0272
Phone (360) 433-9664

Other practice location 1

15609 SE Mill Plain Blvd
Vancouver, WA 98684-8952
Phone (360) 433-9664

Other practice location 2

13505 NE 10th Ave
Vancouver, WA 98685-2711
Phone (360) 433-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422001525 WA Practitioner - Marriage and Family Therapist 1456876549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refresh Therapy, IncGroup PAC ID 2365965985, 10 clinicians

Practice addresses (Care Compare)

13505 NE 10TH Ave
Vancouver, WA 98685-2711
Phone (360) 433-9664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Therapy, Inc Marriage & Family Therapist CurrentSince Apr 1, 2025 Accepting new patients
Refresh Therapy, Inc PastSince Sep 29, 2024 Accepting new patients

Locations

13505 NE 10th Ave
Vancouver, WA 98685
Phone (360) 433-9664

15609 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 215-3242

Organizations & group practices 2

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1689247066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986420272",
            "telephone_number": "360-433-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986420272",
            "telephone_number": "360-433-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15609 SE Mill Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986848952",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13505 NE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852711",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMACE",
        "first_name": "REBECCA",
        "middle_name": "MAE",
        "credential": "LF61609524",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

Verify at the official NPI Registry.