Individual provider Active NPI

Sonya Severson Rose, LMHC, LMFT

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1144587999
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006414 Issued in WA
Practice address
1707 E. 36TH Avenue
Spokane, WA 99203-4041
Phone
(509) 624-0090
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00006414 WA Primary
Marriage & Family Therapist 106H00000X LF00001303 WA

Addresses

Primary practice location

1707 E. 36TH Avenue
Spokane, WA 99203-4041

Mailing address

1707 E. 36TH Avenue
Spokane, WA 99203-4041
Phone (509) 624-0090

Other identifiers 1

IdentifierTypeStateIssuer
ROSS2131821318OtherWAPREMERA BLUE CROSS

Other names 1

  • Mrs. Sonya Rose Severson Former name

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

State licenses

LicenseStateTypeSpecialty
LH00006414WAMDMental Health Counselor
LF00001303WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1144587999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E. 36TH AVENUE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034041",
            "telephone_number": "509-624-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E. 36TH AVENUE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034041",
            "telephone_number": "509-624-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SONYA",
        "middle_name": "SEVERSON",
        "name_prefix": "Ms.",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006414",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "ROSS2131821318",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "SEVERSON",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "credential": "LMHC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.