Individual provider Active NPI

Sarah Lynn Brockes

  • Counselor
  • Renton, WA
National Provider Identifier
1174058069
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CL 60147129 Issued in WA
Practice address
19815 95TH Ave S
Renton, WA 98055-4105
Phone
(206) 940-5417
Fax
(253) 854-3666
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CL 60147129 WA Primary

Addresses

Primary practice location

19815 95TH Ave S
Renton, WA 98055-4105

Mailing address

19815 95TH Ave S
Renton, WA 98055-4105
Phone (206) 940-5417

Other names 1

  • Sarah Lynn Kier 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
CL 60147129WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1174058069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19815 95TH AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554105",
            "telephone_number": "206-940-5417",
            "fax_number": "253-854-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19815 95TH AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554105",
            "telephone_number": "206-940-5417",
            "fax_number": "253-854-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKES",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CL 60147129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KIER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.