Individual provider Active NPI

Alexandra Lauren Bohlman

  • Marriage & Family Therapist
  • Fircrest, WA
National Provider Identifier
1760940928
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF61303721 Issued in WA
Practice address
6314 19TH St W Ste 7
Fircrest, WA 98466-6223
Phone
(206) 635-3492
NPI assigned
Mar 6, 2019
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG61024752 WA
Marriage & Family Therapist 106H00000X MG61045464 WA
Marriage & Family Therapist 106H00000X LF61303721 WA Primary

Addresses

Primary practice location

6314 19TH St W Ste 7
Fircrest, WA 98466-6223

Mailing address

6314 19TH St W Ste 7
Fircrest, WA 98466-6223
Phone (206) 635-3492

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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG61024752WAMDCounselor
LF61303721WAMDMarriage & Family Therapist
MG61045464WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1760940928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 19TH ST W STE 7",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666223",
            "telephone_number": "206-635-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 19TH ST W STE 7",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666223",
            "telephone_number": "206-635-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61024752",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61045464",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61303721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fircrest, WA

Sources for this page

Verify at the official NPI Registry.