Individual provider Active NPI

Sarah Catherine Marx Poulain, LMFT

  • Marriage & Family Therapist
  • Parker, CO
National Provider Identifier
1043426000
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82226 Issued in CA
Practice address
16386 Flintlock CT
Parker, CO 80134-9342
Phone
(408) 439-4476
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 82226 CA Primary
Marriage & Family Therapist 106H00000X IMF 52243 CA

Addresses

Primary practice location

16386 Flintlock CT
Parker, CO 80134-9342

Mailing address

16386 Flintlock CT
Parker, CO 80134-9342
Phone (408) 439-4476

Other practice location 1

610 Elm St
Suite 212
San Carlos, CA 94070-8401
Phone (650) 579-0361 ext. 20

Other names 1

  • Sarah Carherine Marx Former name

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
82226CAMDClinical Social Worker
IMF 52243CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1043426000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16386 FLINTLOCK CT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349342",
            "telephone_number": "408-439-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16386 FLINTLOCK CT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349342",
            "telephone_number": "408-439-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Elm St",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940708401",
            "country_code": "US",
            "telephone_number": "650-579-0361 x20",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULAIN",
        "first_name": "SARAH",
        "middle_name": "CATHERINE MARX",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82226",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 52243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MARX",
            "middle_name": "CARHERINE",
            "credential": "MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.