Individual provider Active NPI

Alexandra Lauren Bohlman

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1760940928
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF61303721 Issued in WA
Practice address
2208 NW Market St Ste 503
Seattle, WA 98107-4098
Phone
(206) 635-3492
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG61024752 WA
Marriage & Family Therapist 106H00000X 61045464 WA
Marriage & Family Therapist 106H00000X MG61045464 WA
Marriage & Family Therapist 106H00000X LF61303721 WA Primary

Addresses

Primary practice location

2208 NW Market St Ste 503
Seattle, WA 98107-4098

Mailing address

2208 NW Market St Ste 503
Seattle, WA 98107-4098
Phone (206) 635-3492

Other practice location 1

4526 Federal Ave
Everett, WA 98203
Phone (254) 349-6200

Other practice location 2

4807 196th St SW Ste 100
Lynnwood, WA 98036-6409
Phone (425) 835-5850

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
61045464WAMDMarriage & Family Therapist
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": "1679270400000",
    "number": "1760940928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 503",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074098",
            "telephone_number": "206-635-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 503",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074098",
            "telephone_number": "206-635-3492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "98203",
            "country_code": "US",
            "telephone_number": "254-349-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4807 196th St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980366409",
            "country_code": "US",
            "telephone_number": "425-835-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHLMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "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": "61045464",
            "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 Seattle, WA

Sources for this page

Verify at the official NPI Registry.