Active NPI
Kathryn Ann McCormick, L.M.F.T., L.M.P.
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1700087764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00002037
- Practice address
- 3136 E Madison St
Seattle, WA 98112-4267 - Phone
- (206) 322-7177
- NPI assigned
- May 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF00002037 | WA | Primary |
| Mechanotherapist | 172M00000X | MA00008259 | WA |
Addresses
Primary practice location
3136 E Madison St
Seattle, WA 98112-4267
Mailing address
3136 E Madison St
Suite 100
Seattle, WA 98112-4267
Phone (206) 322-7177
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 |
|---|---|---|---|
| LF00002037 | WA | MD | Marriage & Family Therapist |
| MA00008259 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1700087764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3136 E MADISON ST",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124267",
"telephone_number": "206-322-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 E MADISON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124267",
"telephone_number": "206-322-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.M.F.T., L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00002037",
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA00008259",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.