Individual provider Active NPI

Gustavo A Parra, MFT.LF.60560674

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1801278569
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.LF.60560674 Issued in WA
Practice address
2200 Thorndyke Ave W Apt 206
Seattle, WA 98199-3529
Phone
(603) 422-3508
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT.LF.60560674 WA
Marriage & Family Therapist 106H00000X MFT.LF.60560674 WA Primary

Addresses

Primary practice location

2200 Thorndyke Ave W Apt 206
Seattle, WA 98199-3529

Mailing address

2200 Thorndyke Ave W Apt 206
Seattle, WA 98199-3529
Phone (603) 422-3508

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516001315 WA Practitioner - Marriage and Family Therapist 4284075664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT.LF.60560674WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More Happiness Inc Marriage & Family Therapist CurrentSince Feb 13, 2024 Accepting new patients

Locations

918 S Horton St
Ste 1009
Seattle, WA 98134
Phone (603) 422-3508

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.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1801278569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 THORNDYKE AVE W APT 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993529",
            "telephone_number": "603-422-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 THORNDYKE AVE W APT 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993529",
            "telephone_number": "603-422-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "GUSTAVO",
        "middle_name": "A",
        "credential": "MFT.LF.60560674",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MFT.LF.60560674",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MFT.LF.60560674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.