Sasha Marie J Squires, MA, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BBH-LCPC-LIC-62690 Issued in MT

Practice address

110 River Ranch LN
Dayton, WA 99328-8628

Phone

(406) 600-3756

NPI assigned

Apr 24, 2023

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive CSS LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, WA
  • NPI 1245069798
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1104514678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RIVER RANCH LN",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993288628",
            "telephone_number": "406-600-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RIVER RANCH LN",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993288628",
            "telephone_number": "406-600-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "SASHA MARIE",
        "middle_name": "J",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-62690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivers Walk Assisted Living
• Kenneth R Roughton, PHD
• Kaylyn Rutherford, DNP
• Cierra Susann Schafer, PHARMD
• Chawntelee Solomon, RN BSN
• Beverly June Startin
• Terrance Lee Steinhoff, D.C.
• Melynda Stevens
• Savannah S Stevens, RDH
• Michael James Strang, DDS

• Mental Health Counselor in Dayton, WA
• Providers in Dayton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.