Individual provider Active NPI

Sidney Kay Rockwell-McCombs, M.A.

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1376651927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004014 Issued in WA
Practice address
19031 33Rd Ave W
Ste 303
Lynnwood, WA 98036-4731
Phone
(425) 640-7919
Fax
(425) 640-9087
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00004014 WA Primary

Addresses

Primary practice location

19031 33Rd Ave W
Ste 303
Lynnwood, WA 98036-4731

Mailing address

19031 33Rd Ave W
Ste 303
Lynnwood, WA 98036-4731
Phone (425) 640-7919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00004014WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Counseling Associates, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376651927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W",
            "address_2": "STE 303",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364731",
            "telephone_number": "425-640-7919",
            "fax_number": "425-640-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W",
            "address_2": "STE 303",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364731",
            "telephone_number": "425-640-7919",
            "fax_number": "425-640-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL-MCCOMBS",
        "first_name": "SIDNEY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.