Individual provider Active NPI

Edna Sadberry, M.A.

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1386048395
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG60507209 Issued in WA
Practice address
1800 S Jackson St
Apartment Number 208
Seattle, WA 98144-2177
Phone
(206) 719-9490
NPI assigned
Oct 20, 2014
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CG60507209 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X CG 60507209 WA

Addresses

Primary practice location

1800 S Jackson St
Apartment Number 208
Seattle, WA 98144-2177

Mailing address

1800 S Jackson St Apt 208
Seattle, WA 98144-2181
Phone (206) 719-9490

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
CG60507209WAMDMental Health Counselor
CG 60507209WAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1386048395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S JACKSON ST APT 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442181",
            "telephone_number": "206-719-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S JACKSON ST",
            "address_2": "APARTMENT NUMBER 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442177",
            "telephone_number": "206-719-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADBERRY",
        "first_name": "EDNA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60507209",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CG 60507209",
            "primary": false
        }
    ],
    "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 Jul 19, 2016; 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.