Active NPI
Jessica Joy Libby
- Marriage & Family Therapist
- Sumner, WA
National Provider Identifier
1740673037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF61294021
- Practice address
- 918 Alder Ave
Sumner, WA 98390-1406 - Phone
- (253) 302-9593
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61294021 | WA | Primary |
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | CG60542500 | WA |
Addresses
Primary practice location
918 Alder Ave
Sumner, WA 98390-1406
Mailing address
12425 135TH Street CT E
Puyallup, WA 98374-4662
Phone (253) 302-9593
Other practice location 1
7610 40th St W Ste 200
University Place, WA 98466
Phone (253) 507-7231
Other practice location 2
3214 W McGraw St
Ste 212
Seattle, WA 98199-3239
Phone (206) 453-4882
Other practice location 3
325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8400
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 |
|---|---|---|---|
| CG60542500 | WA | MD | Mental Health Counselor |
| LF61294021 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1740673037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12425 135TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983744662",
"telephone_number": "253-302-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 ALDER AVE",
"city": "SUMNER",
"state": "WA",
"postal_code": "983901406",
"telephone_number": "253-302-9593"
}
],
"practiceLocations": [
{
"address_1": "7610 40th St W Ste 200",
"address_purpose": "LOCATION",
"city": "University Place",
"state": "WA",
"postal_code": "98466",
"country_code": "US",
"telephone_number": "253-507-7231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3214 W McGraw St",
"address_2": "Ste 212",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981993239",
"country_code": "US",
"telephone_number": "206-453-4882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 E Pioneer",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723265",
"country_code": "US",
"telephone_number": "253-697-8400",
"fax_number": "253-697-3730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIBBY",
"first_name": "JESSICA",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61294021",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60542500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.