Active NPI
Kelley Kohlwes, MA
- Marriage & Family Therapist
- Tacoma, WA
National Provider Identifier
1891162061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60893898
- Practice address
- 1102 A St Ste 426
Tacoma, WA 98402-5011 - Phone
- (253) 260-5167
- NPI assigned
- Aug 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60893898 | WA | Primary |
Addresses
Primary practice location
1102 A St Ste 426
Tacoma, WA 98402-5011
Mailing address
1102 A St Ste 426
Tacoma, WA 98402-5011
Phone (253) 260-5167
Other names 1
- Kelley Walker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2025 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60893898 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1891162061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 A ST STE 426",
"city": "TACOMA",
"state": "WA",
"postal_code": "984025011",
"telephone_number": "253-260-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 A ST STE 426",
"city": "TACOMA",
"state": "WA",
"postal_code": "984025011",
"telephone_number": "253-260-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLWES",
"first_name": "KELLEY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60893898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLEY",
"last_name": "WALKER",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.