Active NPI
Amanda M Sommerfeld, LMHC
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1205069747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60561520
- Practice address
- 104 W Meeker Ste E
Puyallup, WA 98371-8901 - Phone
- (253) 232-8072
- NPI assigned
- Sep 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60561520 | WA | Primary |
Addresses
Primary practice location
104 W Meeker Ste E
Puyallup, WA 98371-8901
Mailing address
5910 N 15TH St Apt B101
Tacoma, WA 98406-2400
Phone (253) 232-8072
Other names 1
- Amanda Haase
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60561520 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molleston Luke Counseling LTD. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Puyallup, WA
- NPI 1659879690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1205069747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 N 15TH ST APT B101",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062400",
"telephone_number": "253-232-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W MEEKER STE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983718901",
"telephone_number": "253-232-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMERFELD",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60561520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HAASE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.