Individual provider Active NPI

Antoinette Evans, MA LMFT

  • Marriage & Family Therapist
  • Kirkland, WA
National Provider Identifier
1174900898
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60557587 Issued in WA
Practice address
12025 115TH Ave NE
D 200
Kirkland, WA 98034-6942
Phone
(206) 914-6820
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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 LF60557587 WA Primary

Addresses

Primary practice location

12025 115TH Ave NE
D 200
Kirkland, WA 98034-6942

Mailing address

829 SW 142ND PL
Burien, WA 98166-1555
Phone (206) 914-6820

Other names 1

  • Toni Evans Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LF60557587WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Counseling and Family Services Marriage & Family Therapist Current Accepting new patients

Locations

18537 1st Ave S
Ste B
Normandy Park, WA 98148
Phone (206) 946-6946

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.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1174900898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SW 142ND PL",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661555",
            "telephone_number": "206-914-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 115TH AVE NE",
            "address_2": "D 200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346942",
            "telephone_number": "206-914-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ANTOINETTE",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60557587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "EVANS",
            "credential": "MA LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.