Individual provider Active NPI

Ezra Kilfoil, LMFT

  • Marriage & Family Therapist
  • Vancouver, WA
National Provider Identifier
1376880518
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002639 Issued in WA
Practice address
1104 Main St Ste 440
Vancouver, WA 98660-2955
Phone
(360) 518-6000
NPI assigned
Jan 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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 LF00002639 WA Primary

Addresses

Primary practice location

1104 Main St Ste 440
Vancouver, WA 98660-2955

Mailing address

1104 Main St Ste 440
Vancouver, WA 98660-2955

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
I20241105001319 WA Practitioner - Marriage and Family Therapist 4082148689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahrens & Associates Corporation Marriage & Family Therapist CurrentSince Sep 23, 2024 Accepting new patients

Locations

12 E Rowan Ave
Ste 101
Spokane, WA 99207

1711 Main St
Vancouver, WA 98660
Phone (360) 200-4481

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1376880518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST STE 440",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST STE 440",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602955",
            "telephone_number": "360-518-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILFOIL",
        "first_name": "EZRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.