BOONE BUTLER – Marriage & Family Therapist, NPI 1366913592

BOONE BUTLER is a healthcare provider. based in Seattle, Washington. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 61163636 (WA). The NPI Number for BOONE BUTLER is 1366913592

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BOONE BUTLER
NPI
1366913592
Phone
(206) 714-1799
Address
3417 EVANSTON AVE N STE 411
Enumeration Date
16 December 2018
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2062428211
Graduation Year
2021 (5 years ago)
PAC ID
6507388386
Group Practice PAC ID
2163641598
Professional Enrollment ID
I20250321000674
Address ID
WA981663071BU15811SWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

246 MARRIAGE AND FAMILY THERAPIST in WA

Provider Addresses for BOONE BUTLER

  • 3417 EVANSTON AVE N STE 411

    SEATTLE, WA 981038969

    Phone: (206) 714-1799

    Type: Location

  • 523 N 105TH ST APT C

    SEATTLE, WA 981339264

    Phone:

    Type: Mailing

  • Ruth Dykeman Children's Center, 1033, Southwest 152nd Street, Seahurst, Burien, King County, Washington, 98166, United States

    BURIEN, WA 981661845

    Phone: (206) 242-1698

    Type: Location

  • 1752 NW MARKET ST # 308

    SEATTLE, WA 981075264

    Phone:

    Type: Mailing

  • 3711 164TH ST SW APT E118

    LYNNWOOD, WA 980877028

    Phone: (360) 899-2995

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250321000674IMarriage And Family TherapistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163641598View full group profile
NameSpecialtyState
Marriage And Family TherapistWA
Nurse PractitionerOK
Mental Health CounselorWA
Nurse PractitionerMA
Marriage And Family TherapistWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Clinical Social WorkerLA
Mental Health CounselorFL

Reviews

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Frequently asked questions

What is the standard ID for BOONE BUTLER in the U.S.?
In the U.S., BOONE BUTLER is identified by NPI 1366913592.
Quick check: is BOONE BUTLER active?
Public NPPES data shows BOONE BUTLER with an active NPI status right now.
What type of care does BOONE BUTLER provide?
BOONE BUTLER's profile centers on Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to BOONE BUTLER?
The directory associates BOONE BUTLER with Seattle, Washington. Check all listed addresses for suites or satellite offices.
Why is information missing for BOONE BUTLER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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