Mary Donovan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60918849 Issued in WA

Practice address

8424 NE 150TH PL
Kenmore, WA 98028-4746

Phone

(206) 499-7147

NPI assigned

Aug 12, 2014

Last updated

Jan 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nurturing Growth Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenmore, WA
  • NPI 1467086843
  NPD Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673740800000",
    "number": "1972912210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NE 150TH PL",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284746",
            "telephone_number": "206-499-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NE 150TH PL",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284746",
            "telephone_number": "206-499-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Redmond Woodinville Rd NE",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523601",
            "country_code": "US",
            "telephone_number": "206-499-7147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15600 Redmond Way Ste 303",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523862",
            "country_code": "US",
            "telephone_number": "206-499-7147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7345 164th Ave NE",
            "address_2": "STE i145 -1233",
            "address_purpose": "LOCATION",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980529805",
            "country_code": "US",
            "telephone_number": "206-499-7147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MARY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60918849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Kenmore, WA
• Providers in Kenmore, 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 Jan 15, 2023; 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.