Active NPI
Diane Geneva Hudson, LMFT
- Marriage & Family Therapist
- Olympia, WA
National Provider Identifier
1689863151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00002141
- Practice address
- 1111 Archwood Dr SW
#366
Olympia, WA 98502-5641 - Phone
- (253) 223-9143
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LF00002141 | WA | Primary |
Addresses
Primary practice location
1111 Archwood Dr SW
#366
Olympia, WA 98502-5641
Mailing address
1111 Archwood Dr SW
#366
Olympia, WA 98502-5641
Phone (253) 223-9143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LF00002141 | Other | WA | DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| LF00002141 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1689863151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 ARCHWOOD DR SW",
"address_2": "#366",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025641",
"telephone_number": "253-223-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ARCHWOOD DR SW",
"address_2": "#366",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025641",
"telephone_number": "253-223-9143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "DIANE",
"middle_name": "GENEVA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00002141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "LF00002141",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.