Individual provider Active NPI

Sally Kay Rye-Gomes, MA, LPC

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1336409580
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006318 Issued in WA
Practice address
16727 59TH PL W
Lynnwood, WA 98037-8309
Phone
(206) 854-9517
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-17273 AZ
Mental Health Counselor 101YM0800X LH00006318 WA Primary

Addresses

Primary practice location

16727 59TH PL W
Lynnwood, WA 98037-8309

Mailing address

16727 59TH PL W
Lynnwood, WA 98037-8309
Phone (206) 854-9517

Other names 1

  • Sally Kay Rye 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00006318WAMDMental Health Counselor
LPC-17273AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sage Health PLLC PastSince Feb 1, 2018 Accepting new patients
West Valley Psychological Services, LLC PastSince Sep 1, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1336409580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16727 59TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378309",
            "telephone_number": "206-854-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16727 59TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378309",
            "telephone_number": "206-854-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYE-GOMES",
        "first_name": "SALLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17273",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "RYE",
            "middle_name": "KAY",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.