Individual provider Active NPI

Stephanie McWethy, LMFT-S, CMHS, EMMHS

  • Marriage & Family Therapist
  • Lynnwood, WA
National Provider Identifier
1962949164
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60077794 Issued in WA
Practice address
19730 64TH Ave W Ste 321
Lynnwood, WA 98036-5957
Phone
(509) 823-1616
Fax
(360) 326-0431
NPI assigned
Jan 25, 2017
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 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 LF60077794 WA Primary

Addresses

Primary practice location

19730 64TH Ave W Ste 321
Lynnwood, WA 98036-5957

Mailing address

19730 64TH Ave W Ste 321
Lynnwood, WA 98036-5957
Phone (509) 823-1616

Other practice location 1

16000 Bothell Everett Hwy Ste 360
Mill Creek, WA 98012-1577
Phone (425) 357-9111

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address stephanie@integrityfirstfamilyservices.com Direct
Direct Messaging Address stephanie@integrityfirstfamilyservices.com Direct

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

State licenses

LicenseStateTypeSpecialty
LF60077794WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Creek Family Services, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1962949164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 64TH AVE W STE 321",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365957",
            "telephone_number": "509-823-1616",
            "fax_number": "360-326-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19730 64TH AVE W STE 321",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365957",
            "telephone_number": "509-823-1616",
            "fax_number": "360-326-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 Bothell Everett Hwy Ste 360",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121577",
            "country_code": "US",
            "telephone_number": "425-357-9111",
            "fax_number": "425-357-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWETHY",
        "first_name": "STEPHANIE",
        "credential": "LMFT-S,  CMHS, EMMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60077794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie@integrityfirstfamilyservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "stephanie@integrityfirstfamilyservices.com",
            "address_1": "4215 198th St SW Ste 102",
            "city": "Lynnwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980366738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie@integrityfirstfamilyservices.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Communication",
            "address_1": "19730 64th Ave W Ste 321",
            "city": "Lynnwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980365957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.