NPIMap

Organization Active NPI

Olive Tree Therapy LLC

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1770028813
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG60604590 Issued in WA
Legal business name
OLIVE TREE THERAPY LLC
Practice address
3515 SW Alaska St
Seattle, WA 98126-2730
Phone
(425) 243-3476
NPI assigned
Dec 28, 2016
Last updated
Dec 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Danielle Scarsella-GoniaNPI 1740653120
Title
Member
Phone
(253) 335-3027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MG60604590 WA Primary

Addresses

Primary practice location

3515 SW Alaska St
Seattle, WA 98126-2730

Mailing address

3451 24TH Ave W
L522
Seattle, WA 98199-2200
Phone (253) 335-3027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1770028813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 24TH AVE W",
            "address_2": "L522",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981992200",
            "telephone_number": "253-335-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SW ALASKA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262730",
            "telephone_number": "425-243-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "SCARSELLA-GONIA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-335-3027"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60604590",
            "primary": true
        }
    ],
    "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 Dec 28, 2016; 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.