Active NPI
Sandra Susan Roscoe, PHD, LMFT
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1043331598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00002574
- Practice address
- 444 NE Ravenna Blvd Ste 309
Seattle, WA 98115-6467 - Phone
- (206) 947-6018
- NPI assigned
- Apr 3, 2007
- 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 | LF00002574 | WA | Primary |
Addresses
Primary practice location
444 NE Ravenna Blvd Ste 309
Seattle, WA 98115-6467
Mailing address
17014 Bertola Road
Edmonds, WA 98026
Phone (206) 947-6018
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF00002574 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1043331598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17014 BERTOLA ROAD",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "206-947-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 NE RAVENNA BLVD STE 309",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156467",
"telephone_number": "206-947-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSCOE",
"first_name": "SANDRA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PHD, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00002574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.