Active NPI
Heather Marie Sorensen, BA
- Mental Health Counselor
- Marysville, WA
National Provider Identifier
1093305229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG61140768
- Practice address
- 7720 103Rd PL NE
Marysville, WA 98270-7929 - Phone
- (360) 743-0737
- NPI assigned
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG61140768 | WA | Primary |
| Counselor | 101Y00000X | CG61140768 | WA |
Addresses
Primary practice location
7720 103Rd PL NE
Marysville, WA 98270-7929
Mailing address
7720 103Rd PL NE
Marysville, WA 98270-7929
Phone (360) 743-0737
Other practice location 1
1043 94th Dr NE
Lake Stevens, WA 98258-7813
Phone (608) 469-9904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG61140768 | Other | WA | AAC |
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61140768 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Connection Services | Counselor | Current | Accepting new patients |
Organizations & group practices 1
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": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1093305229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 103RD PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707929",
"telephone_number": "360-743-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 103RD PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707929",
"telephone_number": "360-743-0737"
}
],
"practiceLocations": [
{
"address_1": "1043 94th Dr NE",
"address_purpose": "LOCATION",
"city": "Lake Stevens",
"state": "WA",
"postal_code": "982587813",
"country_code": "US",
"telephone_number": "608-469-9904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORENSEN",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG61140768",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG61140768",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAC",
"identifier": "CG61140768",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.