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MR. ANTHONIE ONTREAY ETIENNE LMFT
NPI 1023428117
Marriage & Family Therapist in Puyallup, WA

Active since April 29, 2014PECOS Enrolled
3911 9TH ST SW STE 205, PUYALLUP, WA 98373(760) 881-5559(442) 255-1126 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2026, Jan 12, 2026, Apr 3, 2025 and 2 more (5 updates tracked since 2023).

About Mr. Anthonie Ontreay Etienne Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONIE ONTREAY ETIENNE LMFT (NPI 1023428117) is an individual marriage & family therapist in Puyallup, Washington, licensed in Washington (LF61658464) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023428117
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. ANTHONIE ONTREAY ETIENNECredential: LMFT
Location Address3911 9TH ST SW STE 205Puyallup, WA 98373-5946
Mailing AddressPo Box 731915Puyallup, WA 98373-0045 · (442) 348-3822 · Fax (442) 255-1126
Phone(760) 881-5559
Fax(442) 255-1126
Sole ProprietorNo
Enumeration DateApril 29, 2014
Last NPPES UpdateMay 14, 20265 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1023428117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in WA · LF61658464✔ Licensed in CA · LMFT138474
Definition
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.
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedBehavior AnalystTaxonomy 103K00000X
3911 9TH ST SW STE 205, Puyallup, WA 98373
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Other Identifiers 1

Medicaid2335703WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Anthonie Ontreay Etienne Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Anthonie Etienne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Calm In The Wilderness
Same address
Marriage & Family Therapist
3911 9TH ST SW STE 205
Puyallup, WA 98373
  • Reassigned Medicare billing, Washington enrollment
NPI 1225730435 (760) 881-5559
Provider Profile
940 mi
Marriage & Family Therapist
473 EAST CARNEGIE DR, SUITE 200
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1669808028 (949) 385-2544

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALM IN THE WILDERNESS
Marriage & Family Therapist
3911 9TH ST SW STE 205
PUYALLUP, WA 98373
Pierce County (760) 881-5559
CALM IN THE WILDERNESS MINISTRIES
Marriage & Family Therapist
3911 9TH ST SW STE 205
PUYALLUP, WA 98373
Pierce County (760) 881-5999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthonie Etienne's NPI number?

The NPI number for Anthonie Etienne is 1023428117. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Anthonie Etienne located?

Anthonie Etienne practices at 3911 9th St SW Ste 205, Puyallup, WA 98373. The listed phone number is (760) 881-5559.

What is Anthonie Etienne's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Anthonie Etienne enrolled in Medicare?

Yes. Anthonie Etienne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anthonie Etienne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthonie Etienne reassigns Medicare benefits to 2 organizations: Calm In The Wilderness (Puyallup, WA) and (San Bernardino, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthonie Etienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthonie Etienne accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anthonie Etienne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthonie Etienne was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.