Active NPI
Aubrey Lough
- Marriage & Family Therapist
- Lake Tapps, WA
National Provider Identifier
1366964512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF61176218
- Practice address
- 6226 213TH Avenue CT E
Lake Tapps, WA 98391-6134 - Phone
- (206) 814-1919
- NPI assigned
- Jul 10, 2017
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61176218 | WA | Primary |
Addresses
Primary practice location
6226 213TH Avenue CT E
Lake Tapps, WA 98391-6134
Mailing address
29690 Frogsong PL NE
Kingston, WA 98346-9598
Other practice location 1
6505 216th St SW Ste 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 14, 2024 through Mar 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF61176218 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1366964512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29690 FROGSONG PL NE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6226 213TH AVENUE CT E",
"city": "LAKE TAPPS",
"state": "WA",
"postal_code": "983916134",
"telephone_number": "206-814-1919"
}
],
"practiceLocations": [
{
"address_1": "6505 216th St SW Ste 100",
"address_purpose": "LOCATION",
"city": "Mountlake Terrace",
"state": "WA",
"postal_code": "980432089",
"country_code": "US",
"telephone_number": "425-640-7009",
"fax_number": "425-678-6455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUGH",
"first_name": "AUBREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61176218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Tapps, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.