Individual provider Active NPI

Sarah Dimock, MA MED LMHC

  • Mental Health Counselor
  • Shoreline, WA
National Provider Identifier
1508091810
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60045344 Issued in WA
Practice address
1569 NE 177TH St
Shoreline, WA 98155-5230
Phone
(206) 933-8696
NPI assigned
May 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 LH 60045344 WA Primary

Addresses

Primary practice location

1569 NE 177TH St
Shoreline, WA 98155-5230

Mailing address

1569 NE 177TH St
Shoreline, WA 98155-5230
Phone (206) 933-8696

Other names 1

  • Sarah Walston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 29, 2024 through Mar 29, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LH 60045344WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1508091810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 NE 177TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555230",
            "telephone_number": "206-933-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 NE 177TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555230",
            "telephone_number": "206-933-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOCK",
        "first_name": "SARAH",
        "credential": "MA MED LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-17",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60045344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WALSTON",
            "credential": "MA MED LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.