Individual provider Active NPI

Sara Stevee Giba, MA, LMHC, MHP

  • Mental Health Counselor
  • Tulalip, WA
National Provider Identifier
1184053969
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60298256 Issued in WA
Practice address
2821 Mission Hill Rd
Tulalip, WA 98271-9706
Phone
(360) 716-4347
NPI assigned
Nov 2, 2013
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60298256 WA Primary

Addresses

Primary practice location

2821 Mission Hill Rd
Tulalip, WA 98271-9706

Mailing address

2821 Mission Hill Rd
Tulalip, WA 98271-9706
Phone (360) 716-4347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231130000722 TX Practitioner - Mental Health Counselor 3870941966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulalip Tribes of WashingtonGroup PAC ID 7719879782, 24 clinicians

Practice addresses (Care Compare)

2821 Mission Hill Rd
Tulalip, WA 98271-9706
Phone (360) 716-4400

7520 Totem Beach Rd
Tulalip, WA 98271-6160
Phone (360) 716-4511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC60298256WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Tribes of Washington Current Accepting new patients
Tulalip Tribes of Washington CurrentSince Jan 1, 2024 Accepting new patients
Tulalip Tribes of Washington CurrentSince Jan 1, 2024 Accepting new patients

Locations

6406 Marine Dr
Ste A
Tulalip, WA 98271

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1184053969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBA",
        "first_name": "SARA",
        "middle_name": "STEVEE",
        "credential": "MA, LMHC, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60298256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulalip, WA

Sources for this page

Verify at the official NPI Registry.