Active NPI
Stephanie Aileen Ramos, LMFT
- Marriage & Family Therapist
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF61233416
- Practice address
- 10634 E Riverside Dr Ste 100
Bothell, WA 98011-3751 - Phone
- (425) 869-2644
- Fax
- (425) 867-0930
- NPI assigned
- Jan 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG60960877 | WA | |
| Marriage & Family Therapist | 106H00000X | LF61233416 | WA | Primary |
Addresses
Primary practice location
10634 E Riverside Dr Ste 100
Bothell, WA 98011-3751
Mailing address
8275 166TH Ave NE Ste 200
Redmond, WA 98052-6629
Phone (425) 869-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10634 E Riverside Dr
Suite 100
Bothell, WA 98011-3751
Phone 42586926440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG60960877 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmaus Counseling Service PS | Current | Accepting new patients |
Locations
2122 112th Ave NE
Ste B200
Bellevue, WA 98004
10634 E Riverside Dr
Ste 100
Bothell, WA 98011
Phone 4258692644 ext. 0
8275 166th Ave NE
Ste 200
Redmond, WA 98052
Phone 4258692644 ext. 17
Interoperability endpoints
- lifestancehealth.stephanieramos@147765.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Redmond, WA
- NPI 1548321789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1780120345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8275 166TH AVE NE STE 200",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526629",
"telephone_number": "425-869-2644",
"fax_number": "425-867-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10634 E RIVERSIDE DR STE 100",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113751",
"telephone_number": "425-869-2644",
"fax_number": "425-867-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "STEPHANIE",
"middle_name": "AILEEN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG60960877",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61233416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.