Cassandra Joan Ellsworth, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60172289 Issued in WA

Practice address

1811 156TH Ave NE Ste 2
Bellevue, WA 98007-4344

Phone

(425) 460-7132

Fax

(425) 460-7148

NPI assigned

Apr 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• CJ Ellsworth Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1740570969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 156TH AVE NE STE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074344",
            "telephone_number": "425-460-7132",
            "fax_number": "425-460-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 156TH AVE NE STE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074344",
            "telephone_number": "425-460-7132",
            "fax_number": "425-460-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "CASSANDRA",
        "middle_name": "JOAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60172289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CJ",
            "last_name": "ELLSWORTH",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Erin Janine Ellis
• Giovanina Ellis, SLP
• Dustin Luke Ellzey, PT, DPT
• Jo Ann Broeckel Elrod, PHD
• Shane Elsdon, LMHC
• Sherman Ely, D.D.S.
• Emerald City Sports & Spine Medicine

• Marriage & Family Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.