Erin E Dierickx

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61143094 Issued in WA

Practice address

6455 S 118TH St
Seattle, WA 98178-2936

Phone

(206) 313-3759

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Erin E Dolan Former name

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 and National Provider Directory roles.

• Erin D Therapy

  • Marriage & Family Therapist
  • Puyallup, WA
  • NPI 1942181789
  NPD Authorized official
• Twin Lakes Counseling, PLLC

  dba Twin Lakes Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Federal Way, WA
  • NPI 1053828814

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1790347466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980570412",
            "telephone_number": "206-313-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S 118TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981782936",
            "telephone_number": "206-313-3759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 SW 320th St Ste D2",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980232292",
            "country_code": "US",
            "telephone_number": "253-289-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIERICKX",
        "first_name": "ERIN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61143094",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MFTA.MG.61143094",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "DOLAN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimkhanh Thi Diep
• Steven Tien Diep, MD
• Jan Diepenheim, D.D.S.
• Rachel Darlene Diercks, RPH
• William Diercks
• Dana Dieringer, M.D.
• Diane Reiten Dieterich
• Chloe Larue Dietrich
• Jenna Lynn Dietrich, LMP
• Eliza Schuyler Dietrichson, LICSW

• Marriage & Family Therapist in Seattle, WA
• Providers in Seattle, 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 May 26, 2021; 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.