Individual provider Active NPI

Debra Kay Butler, MS., LMFT

  • Marriage & Family Therapist
  • Issaquah, WA
National Provider Identifier
1821435165
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60231302 Issued in WA
Practice address
1595 NW Gilman Blvd Ste 13
Issaquah, WA 98027-5329
Phone
(206) 669-1513
Fax
(425) 391-3326
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60231302 WA Primary

Addresses

Primary practice location

1595 NW Gilman Blvd Ste 13
Issaquah, WA 98027-5329

Mailing address

1595 NW Gilman Blvd Ste 13
Issaquah, WA 98027-5329
Phone (206) 669-1513

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LF60231302WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1821435165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 NW GILMAN BLVD STE 13",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275329",
            "telephone_number": "206-669-1513",
            "fax_number": "425-391-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 NW GILMAN BLVD STE 13",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275329",
            "telephone_number": "206-669-1513",
            "fax_number": "425-391-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "MS., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60231302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.