Individual provider Active NPI

Robert Teister, MFT

  • Marriage & Family Therapist
  • Graham, WA
National Provider Identifier
1831712736
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60323811 Issued in WA
Practice address
29617 156TH Ave E
Graham, WA 98338-7441
Phone
(415) 328-2719
NPI assigned
May 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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 LF60323811 WA Primary

Addresses

Primary practice location

29617 156TH Ave E
Graham, WA 98338-7441

Mailing address

29617 156TH Ave E
Graham, WA 98338-7441
Phone (415) 328-2719

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Graham Health Information Exchange (HIE)

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
I20260123002101 WA Practitioner - Marriage and Family Therapist 1456838135 Practice locations: Graham, WA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29617 156TH Ave E
Graham, WA 98338-7441
Phone (206) 809-0226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LF60323811WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1831712736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29617 156TH AVE E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387441",
            "telephone_number": "415-328-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29617 156TH AVE E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387441",
            "telephone_number": "415-328-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEISTER",
        "first_name": "ROBERT",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60323811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Graham",
            "affiliation": "N",
            "endpointDescription": "release of info.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29617 156th Ave E",
            "city": "Graham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983387441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

Verify at the official NPI Registry.