Individual provider Active NPI

Stephanie L Dann, LMFT, ASOTP

  • Marriage & Family Therapist
  • Tacoma, WA
National Provider Identifier
1124205364
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60258086 Issued in WA
Practice address
1944 Pacific Ave Ste 309
Tacoma, WA 98402-3121
Phone
(253) 880-2005
Fax
(253) 572-9958
NPI assigned
Jan 30, 2008
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60258086 WA Primary

Addresses

Primary practice location

1944 Pacific Ave Ste 309
Tacoma, WA 98402-3121

Mailing address

1944 Pacific Ave Ste 309
Tacoma, WA 98402-3121
Phone (253) 880-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923002378 WA Practitioner - Marriage and Family Therapist 6406351329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kathryn Zawislak Therapy and AssociatesGroup PAC ID 4789122367, 4 clinicians

Practice addresses (Care Compare)

417 E Pioneer
Suite B
Puyallup, WA 98372-3267
Phone (253) 285-8673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LF60258086WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Zawislak Therapy & Associates CurrentSince Aug 10, 2025 Accepting new patients
Kzta PastSince Aug 10, 2025 Accepting new patients

Locations

417 E Pioneer
Ste B
Puyallup, WA 98372
Phone (253) 285-8673

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1124205364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 PACIFIC AVE STE 309",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023121",
            "telephone_number": "253-880-2005",
            "fax_number": "253-572-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 PACIFIC AVE STE 309",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023121",
            "telephone_number": "253-880-2005",
            "fax_number": "253-572-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANN",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "LMFT, ASOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60258086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.