The Good Life Institute, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LW60200313 Issued in WA

Legal business name

THE GOOD LIFE INSTITUTE, LLC

Practice address

1033 Regents Blvd Ste 101
Fircrest, WA 98466-6089

Phone

(253) 238-6554

Fax

(253) 590-0821

NPI assigned

Sep 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kariah C Phillips, LICSWNPI 1316128523

Title

Co-Owner/Therapist

Phone

(253) 238-6554

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kariah C Phillips, MSW, LICSW

  • Clinical Social Worker
  • Fircrest, WA
  • NPI 1316128523
  NPD (past) Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851800437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 REGENTS BLVD STE 101",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666089",
            "telephone_number": "253-238-6554",
            "fax_number": "253-590-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 REGENTS BLVD STE 101",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666089",
            "telephone_number": "253-238-6554",
            "fax_number": "253-590-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD LIFE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KARIAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER/THERAPIST",
        "authorized_official_telephone_number": "253-238-6554",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60200313",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60123442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316128523",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649450313",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Mary Stevens, MSW
• Julie Stewart, LMHC, CN
• Megan Struthers, M.D.
• Summer Lynn Stullick, MS, MHP, LMHCA
• Tamara Leigh Taylor, PHD
• Nicole Kimberly Tjakralaksana
• University Place Pediatric Clinic P S
• Michelle Lea Vanaken, LMHC
• Christina Marie Vancamp, LMP
• Wakeland Chiropractic Center Inc PS

• Mental Health Counselor in Fircrest, WA
• Providers in Fircrest, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.