Active NPI
Sierra Jordan Bond, LMFT
- Marriage & Family Therapist
- Tukwila, WA
National Provider Identifier
1700428356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF-61489531
- Practice address
- 7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553 - Phone
- (909) 725-9195
- NPI assigned
- Oct 15, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | LF-61489531 | WA | Primary |
Addresses
Primary practice location
7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553
Mailing address
19719 119TH St E
Bonney Lake, WA 98391-8380
Phone (909) 725-9195
Other practice location 1
15315 1st Ave NE Ste 209
Duvall, WA 98019
Phone (425) 200-0130
Other practice location 2
19204 N Creek Pkwy Ste 110
Bothell, WA 98011-8009
Phone (888) 805-0759
Other names 1
- Sierra Jordan Phelps
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 |
|---|---|---|---|
| LF-61489531 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1700428356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19719 119TH ST E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918380",
"telephone_number": "909-725-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 FORT DENT WAY STE 220",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981888553",
"telephone_number": "909-725-9195"
}
],
"practiceLocations": [
{
"address_1": "15315 1st Ave NE Ste 209",
"address_purpose": "LOCATION",
"city": "Duvall",
"state": "WA",
"postal_code": "98019",
"country_code": "US",
"telephone_number": "425-200-0130",
"fax_number": "425-209-0766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19204 N Creek Pkwy Ste 110",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980118009",
"country_code": "US",
"telephone_number": "888-805-0759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOND",
"first_name": "SIERRA",
"middle_name": "JORDAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-15",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"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": "WA",
"license": "LF-61489531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIERRA",
"last_name": "PHELPS",
"middle_name": "JORDAN",
"credential": "LMFTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.