Individual provider Active NPI

Kathryn Pearl Sarin, MA, EDS

  • Mental Health Counselor
  • Woodinville, WA
National Provider Identifier
1093288763
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61090649 Issued in WA
Practice address
13303 NE 175TH St Ste a
Woodinville, WA 98072-8503
Phone
(425) 896-0031
NPI assigned
Jan 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61090649 WA Primary

Addresses

Primary practice location

13303 NE 175TH St Ste a
Woodinville, WA 98072-8503

Mailing address

15419 168TH Ave NE
Woodinville, WA 98072-9041
Phone (425) 896-0031

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH61090649WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1093288763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15419 168TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729041",
            "telephone_number": "425-896-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 NE 175TH ST STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728503",
            "telephone_number": "425-896-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIN",
        "first_name": "KATHRYN",
        "middle_name": "PEARL",
        "credential": "MA, EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61090649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.