Individual provider Active NPI

Anthony Louthan, LMFTA

  • Marriage & Family Therapist
  • Tacoma, WA
National Provider Identifier
1598441354
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61447544 Issued in WA
Practice address
950 Broadway Ste 404
Tacoma, WA 98402-4454
Phone
(206) 774-8557
NPI assigned
Jun 26, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 MG61447544 WA Primary

Addresses

Primary practice location

950 Broadway Ste 404
Tacoma, WA 98402-4454

Mailing address

4904 52ND Avenue CT W
University Place, WA 98467-3327
Phone (360) 500-5690

Other practice location 1

23606 62nd Ave S Apt C101
Kent, WA 98032-3859
Phone (360) 500-5690

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MG61447544WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Marriage & Family Therapist CurrentSince Nov 3, 2023 Accepting new patients

Locations

950 Broadway
Ste 404
Tacoma, WA 98402
Phone (206) 774-8557

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1598441354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 52ND AVENUE CT W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673327",
            "telephone_number": "360-500-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BROADWAY STE 404",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024454",
            "telephone_number": "206-774-8557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23606 62nd Ave S Apt C101",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980323859",
            "country_code": "US",
            "telephone_number": "360-500-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUTHAN",
        "first_name": "ANTHONY",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61447544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.