Michael Wayne Tassin Jr., LMFT, LMHC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1334 Issued in LA

Practice address

90 Louis Prima Dr Ste a
Covington, LA 70433-5958

Phone

(360) 742-7187

Fax

(360) 890-4099

NPI assigned

Feb 24, 2011

Last updated

Mar 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom Within, LLC

  • Mental Health Counselor
  • Covington, LA
  • NPI 1154736312
  NPD (past) Authorized official

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1740587930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MALIBU DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031376",
            "telephone_number": "360-742-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LOUIS PRIMA DR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335958",
            "telephone_number": "360-742-7187",
            "fax_number": "360-890-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Carpenter Rd SE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985037905",
            "country_code": "US",
            "telephone_number": "360-742-7187",
            "fax_number": "360-890-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASSIN",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60340894",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60600292",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Taranto, LCSW
• Katie Brillhart Taranto, M.D.
• Danielle Elizabeth Tardo, LMSW
• Tass Covington, LLC
• Martin Vince Tassin, PT
• Christopher Ryan Tate, PT, DPT
• Mekenna Rae Tate
• Charles Edward Taylor, PHYSICAL THERAPIST
• Dawn Brassette Taylor, RN-BSN
• Heather Lynn Taylor, PA-C

• Marriage & Family Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Marriage & Family Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.