Active NPI
Sarah Jaqua Trelease, MA, LMHC
- Mental Health Counselor
- Lopez Island, WA
National Provider Identifier
1144962879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61240068
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C6564 | OR | MD | Mental Health Counselor |
| LH61240068 | WA | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.