Individual provider Active NPI

Sara Elizabeth Marez-Fields, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Bremerton, WA
National Provider Identifier
1033650205
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
60145238 Issued in WA
Practice address
4841 Auto Center Way Ste 101
Bremerton, WA 98312-4388
Phone
(360) 373-1529
Fax
(360) 373-4051
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 60145238 WA Primary

Addresses

Primary practice location

4841 Auto Center Way Ste 101
Bremerton, WA 98312-4388

Mailing address

4841 Auto Center Way Ste 101
Bremerton, WA 98312-4388
Phone (360) 373-1529

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
60145238WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Unlimited Addiction (Substance Use Disorder) CurrentSince Nov 1, 2019 Accepting new patients

Locations

4841 Auto Center Way
Ste 101
Bremerton, WA 98312
Phone (360) 373-1529

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1033650205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-373-1529",
            "fax_number": "360-373-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-373-1529",
            "fax_number": "360-373-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREZ-FIELDS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60145238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.