Active NPI
Sarah Conlon
- Counselor
- Bellevue, WA
National Provider Identifier
1104593813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 12838 SE 40TH PL
Bellevue, WA 98006-1212 - Phone
- (425) 614-1282
- NPI assigned
- Aug 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
12838 SE 40TH PL
Bellevue, WA 98006-1212
Mailing address
12838 SE 40TH PL
Bellevue, WA 98006-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG61182014 | Other | DOH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sarahc@bellevueclubhouse.org |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hero House | Past | 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.
-
- Community/Behavioral Health Agency
- Bellevue, WA
- NPI 1982994364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1104593813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12838 SE 40TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12838 SE 40TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061212",
"telephone_number": "425-614-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "CG61182014",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sarahc@bellevueclubhouse.org",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "12838 SE 40th Pl",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980061212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.