Casey Rose Kozlov, M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60721682 Issued in WA

Practice address

15811 Ambaum Blvd SW Ste 110
Burien, WA 98166-3071

Phone

(610) 739-9475

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1568865285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 AMBAUM BLVD SW STE 110",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663071",
            "telephone_number": "610-739-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 AMBAUM BLVD SW STE 110",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663071",
            "telephone_number": "610-739-9475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4238 Auburn Way N",
            "address_2": "Sound Mental Health",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980021311",
            "country_code": "US",
            "telephone_number": "253-876-7600",
            "fax_number": "253-876-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZLOV",
        "first_name": "CASEY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG 60501427",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG 60501427",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CO 60502517",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60721682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Jerome Kopet, PT
• Hannah Korsgaard
• Amanda Koskenmaki
• Gabor Koves, MD
• Shayla Kay Kowaleski, LPN
• Lucy Krakowiak, L.M.P.
• Sarah Marie Krawczak, MD
• Jodi Ann Krist, COTA
• Kristin Sigurjonsson DDS PLLC
• Lindsay Beth Ann Krull, LMP

• Marriage & Family Therapist in Burien, WA
• Providers in Burien, 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 Nov 15, 2019; 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.