Active NPI
Mary C Sacco, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1205147188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60145721
- Practice address
- 1191 2ND Ave
Suite 680
Seattle, WA 98101-3438 - Phone
- (206) 826-3040
- Fax
- (866) 894-7425
- NPI assigned
- Jun 25, 2010
- Sex
- Female
- Sole proprietor
- No
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 | LH60145721 | WA | Primary |
Addresses
Primary practice location
1191 2ND Ave
Suite 680
Seattle, WA 98101-3438
Mailing address
1191 2ND Ave
Suite 680
Seattle, WA 98101-3438
Phone (206) 826-3040
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 |
|---|---|---|---|
| LH60145721 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Family Services | 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
- Seattle, WA
- NPI 1750758215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1205147188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 2ND AVE",
"address_2": "SUITE 680",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013438",
"telephone_number": "206-826-3040",
"fax_number": "866-894-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 2ND AVE",
"address_2": "SUITE 680",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013438",
"telephone_number": "206-826-3040",
"fax_number": "866-894-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCO",
"first_name": "MARY",
"middle_name": "C",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60145721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.