MARK RICHARD AMUNDSEN (NPI# 1053404665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053404665 |
| Entity Type | Individual |
| Full Name | MARK RICHARD AMUNDSEN |
| Practice Address |
564 Ne Ravenna Blvd Seattle WA 98115 |
| Practice Telephone | 2065272266 |
| Practice Fax Number | 2065271009 |
| Mailing Telephone | 2065272266 |
| Mailing Fax Number | 2065271009 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LH00009180 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477638872 | Mark Anthony Amundsen | Dentist | 6325 Topanga Canyon Blvd, Suite 411, Woodland Hills, CA 91367-2006 | 2006-10-25 |
| Street Address |
564 NE RAVENNA BLVD |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320948 | James Young Aultman | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2006-08-30 |
| 1386280238 | Mary Kathleen Brennan | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-11-25 |
| 1225683683 | Grace Stephanie Jeanne Carpenter | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-08-02 |
| 1275070799 | Bonny Chang | Psychologist | 564 Ne Ravenna Blvd, Seattle, WA 98115 | 2017-01-22 |
| 1457731580 | Kristen Rene Moss | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2015-06-03 |
| 1780089540 | Anna Anderson | Marriage & Family Therapist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2014-10-22 |
| 1366881500 | Matthew Stuart Percy | Psychologist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2013-06-20 |
| 1780922757 | James Howard Ramsey | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2013-01-24 |
| 1205190162 | Heidi Nicole Gray | Marriage & Family Therapist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2012-06-26 |
| 1851669956 | Joshua Aaron Ensley | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2011-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070845 | Claudia Graciela Johnson | Marriage & Family Therapist | 2717 Western Ave Apt 5002, Seattle, WA 98121-1162 | 2020-07-22 |
| 1407478043 | Mariette Guidry | Marriage & Family Therapist | 1401 5th Ave N Apt 303, Seattle, WA 98109-3353 | 2020-05-16 |
| 1073144960 | Tara Murphy Therapy | Marriage & Family Therapist | 6701 Greenwood Ave N, Seattle, WA 98103-5225 | 2020-01-29 |
| 1770114605 | Danielle Lauren Gonzales | Marriage & Family Therapist | 5414 Delridge Way Sw Ste A, Seattle, WA 98106-1478 | 2020-01-29 |
| 1972142305 | Nicole Brown | Marriage & Family Therapist | 1804 10th Ave W, Seattle, WA 98119-2948 | 2020-01-02 |
| 1447898911 | Jennifer Alt | Marriage & Family Therapist | 5608 17th Ave Nw # 800, Seattle, WA 98107-5232 | 2019-12-16 |
| 1043869712 | Ekaterina Halligan | Marriage & Family Therapist | 1417 Nw 54th St Ste 355, Seattle, WA 98107-3575 | 2019-09-05 |
| 1205496767 | Aubree Irving | Marriage & Family Therapist | 229 Broadway E Ste 8, Seattle, WA 98102-5787 | 2019-06-17 |
| 1467914424 | Jamie Billetdeaux-deely | Marriage & Family Therapist | 2319 N 45th St Ste 205, Seattle, WA 98103-6978 | 2019-04-01 |
| 1972062396 | Maria Rosario Rodriguez Nava | Marriage & Family Therapist | 4555 Deldrige Way S.w., Seattle, WA 98106 | 2019-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.