Individual provider Active NPI

Patrick Andrew Calvo, LMFTA

  • Marriage & Family Therapist
  • Walla Walla, WA
National Provider Identifier
1962179192
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61354333 Issued in WA
Practice address
345 Boyer Ave
Walla Walla, WA 99362-2083
Phone
(509) 527-5195
Fax
(509) 527-4904
NPI assigned
Aug 25, 2021
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG6135433 WA
Marriage & Family Therapist 106H00000X MG61354333 WA Primary

Addresses

Primary practice location

345 Boyer Ave
Walla Walla, WA 99362-2083

Mailing address

327 E Rose St Unit 204
Walla Walla, WA 99362-1257
Phone (425) 766-0605

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

LicenseStateTypeSpecialty
MG6135433WAMDMarriage & Family Therapist
MG61354333WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Lakes Counseling, PLLC Marriage & Family Therapist PastSince Aug 1, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1962179192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E ROSE ST UNIT 204",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621257",
            "telephone_number": "425-766-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BOYER AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622083",
            "telephone_number": "509-527-5195",
            "fax_number": "509-527-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO",
        "first_name": "PATRICK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG6135433",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61354333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.