Active NPI
Janet Moczulewski, LMFT
- Marriage & Family Therapist
- Issaquah, WA
National Provider Identifier
1982086997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60883473
- Practice address
- 640 NW Gilman Blvd # 101
Issaquah, WA 98027-2476 - Phone
- (206) 817-5616
- NPI assigned
- Jun 25, 2015
- 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 | LF60883473 | WA | Primary |
Addresses
Primary practice location
640 NW Gilman Blvd # 101
Issaquah, WA 98027-2476
Mailing address
640 NW Gilman Blvd # 101
Issaquah, WA 98027-2476
Phone (206) 817-5616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831934939 | Other | IRS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LF60883473 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Connections, PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1495 NW Gilman Blvd
Ste 11
Issaquah, WA 98027
Phone (425) 217-2525
640 NW Gilman Blvd
Ste 101
Issaquah, WA 98027
Phone (206) 817-5616
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Issaquah, WA
- NPI 1538643184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1982086997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 NW GILMAN BLVD # 101",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272476",
"telephone_number": "206-817-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 NW GILMAN BLVD # 101",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272476",
"telephone_number": "206-817-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCZULEWSKI",
"first_name": "JANET",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60883473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "831934939",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.