Individual provider Active NPI

Sophie Jeroma, MT-BC

  • Music Therapist
  • Seattle, WA
National Provider Identifier
1043843311
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
8401 5TH Ave NE Ste 101
Seattle, WA 98115-4186
Phone
(206) 880-0593
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X Primary

Addresses

Primary practice location

8401 5TH Ave NE Ste 101
Seattle, WA 98115-4186

Mailing address

8401 5TH Ave NE Ste 101
Seattle, WA 98115-4186
Phone (206) 880-0593

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Center for Autism, LLC PastSince Nov 21, 2021 Accepting new patients
Ican America PastSince Feb 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1043843311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 5TH AVE NE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154186",
            "telephone_number": "206-880-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 5TH AVE NE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154186",
            "telephone_number": "206-880-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROMA",
        "first_name": "SOPHIE",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "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 Apr 15, 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.