Individual provider Active NPI

Sarah Bobbe

  • Counselor
  • Vancouver, WA
National Provider Identifier
1285007336
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG60529340 Issued in WA
Practice address
7415 NE 94TH Ave
Vancouver, WA 98662-3859
Phone
(360) 253-6019
Fax
(360) 253-2698
NPI assigned
Nov 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60529340 WA Primary

Addresses

Primary practice location

7415 NE 94TH Ave
Vancouver, WA 98662-3859

Mailing address

11606 NW 3Rd Ave
Vancouver, WA 98685-4129
Phone (360) 852-0448

Other identifiers 1

IdentifierTypeStateIssuer
CG60529340MedicaidWA

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
CG60529340WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1285007336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 NW 3RD AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854129",
            "telephone_number": "360-852-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 NE 94TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623859",
            "telephone_number": "360-253-6019",
            "fax_number": "360-253-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60529340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60529340",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.