Active NPI
Carol Johnson Sorenson, M.DIV
- Pastoral Counselor
- Olympia, WA
National Provider Identifier
1053637751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- LH60129957
- Practice address
- 1224 Legion Way SE
Olympia, WA 98501-1655 - Phone
- (360) 790-3286
- NPI assigned
- Apr 20, 2010
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | LH60129957 | WA | Primary |
Addresses
Primary practice location
1224 Legion Way SE
Olympia, WA 98501-1655
Mailing address
1224 Legion Way SE
Olympia, WA 98501-1655
Phone (360) 790-3286
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60129957 | WA | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1053637751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 LEGION WAY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011655",
"telephone_number": "360-790-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 LEGION WAY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011655",
"telephone_number": "360-790-3286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSON",
"first_name": "CAROL",
"middle_name": "JOHNSON",
"name_prefix": "Ms.",
"credential": "M.DIV",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "WA",
"license": "LH60129957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.