Sara D. Klinzman, M.A., L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00009305 Issued in WA

Practice address

1713 5TH Ave SE
Olympia, WA 98501-1801

Phone

(360) 350-2888

Fax

(360) 943-1769

NPI assigned

Dec 5, 2006

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1386702793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 5TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011801",
            "telephone_number": "360-350-2888",
            "fax_number": "360-943-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 5TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011801",
            "telephone_number": "360-350-2888",
            "fax_number": "360-943-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINZMAN",
        "first_name": "SARA",
        "middle_name": "D.",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric John Klein, MD
• Cheryl Klikas
• Rebecca A Klingman, MS
• Shadonna Klinkenberg, RN
• Janice Lynn Klinski, L.M.P.
• Sarah Elizabeth Klopman, PA-C
• Virgil Ernest Knackstedt, M.D.
• Cerise R Knakal, CPO
• Knapp Prosthetics (Sound Prosthetics & Orthotics, Inc.)
• Garth Michael Knapp, LCPO

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.