Individual provider Active NPI

Anne White Sagaris

  • Mental Health Counselor
  • Poulsbo, WA
National Provider Identifier
1467095331
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004475 Issued in WA
Practice address
19500 10TH Ave NE Ste 200
Poulsbo, WA 98370-6553
Phone
(360) 779-4005
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 LH00004475 WA Primary

Addresses

Primary practice location

19500 10TH Ave NE Ste 200
Poulsbo, WA 98370-6553

Mailing address

PO Box 2902
Poulsbo, WA 98370-2902
Phone (360) 779-4005

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
LH00004475WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stepfamily Solutions LLC Mental Health PastSince Oct 27, 2019 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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1467095331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2902",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983702902",
            "telephone_number": "360-779-4005",
            "fax_number": "360-394-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 10TH AVE NE STE 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706553",
            "telephone_number": "360-779-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGARIS",
        "first_name": "ANNE",
        "middle_name": "WHITE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.