Kathleen Kay Tobey, LP LMFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1757 Issued in MN

Practice address

17 1/2 N Lake Ave RM 201
Duluth, MN 55802-2018

Phone

(218) 740-4389

Fax

(218) 740-4389

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Kathleen Kay Davis Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Marriage and Family Therapist

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1679566368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 1/2 N LAKE AVE RM 201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022018",
            "telephone_number": "218-740-4389",
            "fax_number": "218-740-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 1/2 N LAKE AVE RM 201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022018",
            "telephone_number": "218-740-4389",
            "fax_number": "218-740-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBEY",
        "first_name": "KATHLEEN",
        "middle_name": "KAY",
        "credential": "LP LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "772",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "1757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12769",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148052900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "156L3TO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DAVIS",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel David Tillmans, M.D.
• Jackline Sarange Tirimba
• Supakit Titapiwatanakun
• Jessica M Titus, M.D.
• Glenn Howard Tobey, LICSW
• Kai Ainsley Toering
• Alena Nevers Tofte, MD
• Michele M Toftum, RN
• David Tokkesdal
• Sabrina Tollefson, LPCC

• Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.