Individual provider Active NPI

Sarah Jaqua Trelease, MA, LMHC

  • Mental Health Counselor
  • Lopez Island, WA
National Provider Identifier
1144962879
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61240068 Issued in WA
Practice address
343 Eagles Roost LN
Lopez Island, WA 98261-8221
Phone
(917) 733-6407
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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 C6564 OR
Mental Health Counselor 101YM0800X LH61240068 WA Primary

Addresses

Primary practice location

343 Eagles Roost LN
Lopez Island, WA 98261-8221

Mailing address

343 Eagles Roost LN
Lopez Island, WA 98261-8221
Phone (917) 733-6407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002473 WA Practitioner - Mental Health Counselor 4486097102 Practice locations: Lopez Island, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

343 Eagles Roost LN
Lopez Island, WA 98261-8221
Phone 91773364070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C6564ORMDMental Health Counselor
LH61240068WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1144962879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 EAGLES ROOST LN",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982618221",
            "telephone_number": "917-733-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 EAGLES ROOST LN",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "982618221",
            "telephone_number": "917-733-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRELEASE",
        "first_name": "SARAH",
        "middle_name": "JAQUA",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6564",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61240068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lopez Island, WA

Sources for this page

Verify at the official NPI Registry.