Individual provider Active NPI

Anna Vagt, M.S., LMFTA

  • Marriage & Family Therapist
  • Kent, WA
National Provider Identifier
1609325752
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MSTA.MG60686088 Issued in WA
Practice address
21526 SE 292ND CT
Kent, WA 98042-6838
Phone
(206) 556-7936
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 MSTA.MG60686088 WA Primary

Addresses

Primary practice location

21526 SE 292ND CT
Kent, WA 98042-6838

Mailing address

21526 SE 292ND CT
Kent, WA 98042-6838
Phone (206) 556-7936

Other practice location 1

33507 9th Ave S
Suite H2
Federal Way, WA 98003-6397
Phone (425) 919-8545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MSTA.MG60686088WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1609325752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21526 SE 292ND CT",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980426838",
            "telephone_number": "206-556-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21526 SE 292ND CT",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980426838",
            "telephone_number": "206-556-7936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33507 9th Ave S",
            "address_2": "Suite H2",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036397",
            "country_code": "US",
            "telephone_number": "425-919-8545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAGT",
        "first_name": "ANNA",
        "credential": "M.S., LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MSTA.MG60686088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.