Active NPI
Tobby T Anderson Kowal, SLPA
- Marriage & Family Therapist
- Lakewood, WA
National Provider Identifier
1851658058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG61580737
- Practice address
- 9330 59TH Ave SW
Lakewood, WA 98499-2858 - Phone
- (253) 581-7020
- NPI assigned
- Apr 12, 2012
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG61580737 | WA | Primary |
| Speech-Language Assistant | 2355S0801X | SLPA7701 | AZ |
Addresses
Primary practice location
9330 59TH Ave SW
Lakewood, WA 98499-2858
Mailing address
9330 59TH Ave SW
Lakewood, WA 98499-2858
Phone (480) 374-0883
Other practice location 1
352 E Camelback Rd
Phoenix, AZ 85012-1646
Phone (602) 277-5006
Other names 1
- Mrs. Tobby T Anderson Kowal
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG61580737 | WA | MD | Marriage & Family Therapist |
| SLPA7701 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head to Toe Therapy Inc. | Past | Accepting new patients |
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Phoenix, AZ
- NPI 1205196409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1851658058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 59TH AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992858",
"telephone_number": "480-374-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 59TH AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992858",
"telephone_number": "253-581-7020"
}
],
"practiceLocations": [
{
"address_1": "352 E Camelback Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850121646",
"country_code": "US",
"telephone_number": "602-277-5006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON KOWAL",
"first_name": "TOBBY",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG61580737",
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA7701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOBBY",
"last_name": "ANDERSON KOWAL",
"middle_name": "T",
"prefix": "MRS.",
"credential": "LMFTA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.