Individual provider Active NPI

Adriana G Saenz, MA, LMHC, NCC

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1114263159
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH40691625 Issued in WA
Practice address
1409 N Pittsburg St Ste C
Kennewick, WA 99336-8213
Phone
(509) 528-1189
Fax
(800) 886-8071
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LH40691625 WA Primary

Addresses

Primary practice location

1409 N Pittsburg St Ste C
Kennewick, WA 99336-8213

Mailing address

14 Jasmine LN
Pasco, WA 99301-3284
Phone (509) 528-1189

Other practice location 1

14 Jasmine Ln
Pasco, WA 99301-3284
Phone (509) 528-1189

Other identifiers 1

IdentifierTypeStateIssuer
2043306MedicaidWA

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
LH40691625WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114263159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JASMINE LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013284",
            "telephone_number": "509-528-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N PITTSBURG ST STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368213",
            "telephone_number": "509-528-1189",
            "fax_number": "800-886-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Jasmine Ln",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993013284",
            "country_code": "US",
            "telephone_number": "509-528-1189",
            "fax_number": "800-886-8071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAENZ",
        "first_name": "ADRIANA",
        "middle_name": "G",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH40691625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043306",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.