Luke Thao, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61133206 Issued in WA

Practice address

12614 SE 223Rd Dr
Kent, WA 98031-9690

Phone

(253) 693-0041

NPI assigned

Sep 23, 2019

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 3, 2024 through Mar 3, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1356992218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12614 SE 223RD DR",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319690",
            "telephone_number": "253-693-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12614 SE 223RD DR",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319690",
            "telephone_number": "253-693-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "LUKE",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG61133206",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61133206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417532243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Terrill
• Rahab Thaiya
• Payal Y Thakkar, O.D.
• Swetha Thakur
• Rachel Adeline Thamert, LMP
• Nitin Thapa, ND
• Thawminds Mental Health Service LLC
• The Affirmative Collective
• The Bartell Drug Co (Bartell Drugs #34)
• Therapeutic Health Services (THS Kent Branch)

• Marriage & Family Therapist in Kent, WA
• Providers in Kent, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.