Amanda Ayumi Ibaraki Stine

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60882994 Issued in WA

Practice address

4219 SW Juneau St
Seattle, WA 98136-1621

Phone

(206) 207-5395

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1932450798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 48TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164018",
            "telephone_number": "650-207-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 SW JUNEAU ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361621",
            "telephone_number": "206-207-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "AMANDA",
        "middle_name": "AYUMI IBARAKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF76440",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60882994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stim LLC
• Hilary Terase Stim, PHD, MSW, LSWAIC, MA
• Megan Stimpson, PCNS-BC
• Carol A. Stimson, ARNP
• Vala Stimson
• Kathleen Stine, ARNP
• Jenifer Stines, FNP-C
• Mary Frances Stinson, FNP-BC
• Derek Lynn Stirewalt, MD
• Marisa Stirgus

• Marriage & Family Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.