Individual provider Active NPI

Elizabeth Sanders

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1336573534
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60883936 Issued in WA
Practice address
1410 20TH Ave Apt B
Seattle, WA 98122-3487
Phone
(510) 915-2789
NPI assigned
Aug 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4895 CA
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LH60883936 WA Primary

Addresses

Primary practice location

1410 20TH Ave Apt B
Seattle, WA 98122-3487

Mailing address

1410 20TH Ave Apt B
Seattle, WA 98122-3487
Phone (510) 915-2789

Other practice location 1

600 Stewart St Ste 1228
Seattle, WA 98101
Phone (206) 910-9476

Other practice location 2

2577 San Pablo Ave
Oakland, CA 94612-1159
Phone (510) 446-7180

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
LH60883936WAMDMental Health Counselor
4895CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nefesh Counseling CurrentSince Feb 19, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1336573534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 20TH AVE APT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223487",
            "telephone_number": "510-915-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 20TH AVE APT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223487",
            "telephone_number": "510-915-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Stewart St Ste 1228",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98101",
            "country_code": "US",
            "telephone_number": "206-910-9476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2577 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121159",
            "country_code": "US",
            "telephone_number": "510-446-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "4895",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60883936",
            "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 Feb 16, 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.