Individual provider Active NPI

Don Julian Saucier

  • Mental Health Counselor
  • Fife, WA
National Provider Identifier
1144799362
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG60291153 Issued in WA
Practice address
2150 Freeman Rd E
Fife, WA 98424-3776
Phone
(253) 942-5644
Fax
(253) 235-5216
NPI assigned
Nov 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X WA
Mental Health Counselor 101YM0800X CG60291153 WA Primary

Addresses

Primary practice location

2150 Freeman Rd E
Fife, WA 98424-3776

Mailing address

2150 Freeman Rd E
Fife, WA 98424-3776
Phone (253) 942-5644

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
CG60291153WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1144799362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 FREEMAN RD E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984243776",
            "telephone_number": "253-942-5644",
            "fax_number": "253-235-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 FREEMAN RD E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984243776",
            "telephone_number": "253-942-5644",
            "fax_number": "253-235-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCIER",
        "first_name": "DON",
        "middle_name": "JULIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60291153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.