Active NPI
Susan Maltz Tesch, M.S., L.M.F.T.
- Marriage & Family Therapist
- Edmonds, WA
National Provider Identifier
1871711812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00001106
- Practice address
- 406 Main St
Suite 111a
Edmonds, WA 98020-3166 - Phone
- (425) 771-9461
- Fax
- (360) 692-6489
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF00001106 | WA | Primary |
Addresses
Primary practice location
406 Main St
Suite 111a
Edmonds, WA 98020-3166
Mailing address
406 Main St
Suite 111a
Edmonds, WA 98020-3166
Phone (425) 771-9461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 23, 2025 through Jan 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF00001106 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871711812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 MAIN ST",
"address_2": "SUITE 111A",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203166",
"telephone_number": "425-771-9461",
"fax_number": "360-692-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 MAIN ST",
"address_2": "SUITE 111A",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203166",
"telephone_number": "425-771-9461",
"fax_number": "360-692-6489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESCH",
"first_name": "SUSAN",
"middle_name": "MALTZ",
"credential": "M.S., L.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
- Kaelyn Tercero
- Teresa M Schlesinger MD PLLC
- Christine Y Terry, PHYSCIANS ASSISTANT
- Jitka Fiala Terry, OTR/L
- Donald Tesch, M.D.
- Seble Embay Tesfay, REGISTERED NURSE
- Rupin Raj Thakkar, MD
- Julianne Thal, NAC
- Carrie Thayer, MA, LMFT
- The Awaken Center of Integrative Medicine NFP Foundation (Awaken NFP Foundation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.