Active NPI
Jennifer Ward Sanders, LMHCA, RN, CCC-SLP
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1629503040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC.70074052
- Practice address
- 18321 133Rd Ave E
Puyallup, WA 98374-3325 - Phone
- (405) 274-9882
- NPI assigned
- Apr 23, 2017
- Last updated
- Feb 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC.70074052 | WA | Primary |
| Speech-Language Pathologist | 235Z00000X | 111027 | TX |
Addresses
Primary practice location
18321 133Rd Ave E
Puyallup, WA 98374-3325
Mailing address
18321 133Rd Ave E
Puyallup, WA 98374-3325
Phone (405) 274-9882
Other practice location 1
915 W Exchange Pkwy
Suite 100,
Allen, TX 75013-7017
Phone (214) 547-1571
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC.70074052 | WA | MD | Mental Health Counselor |
| 111027 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1629503040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18321 133RD AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983743325",
"telephone_number": "405-274-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 133RD AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983743325",
"telephone_number": "405-274-9882"
}
],
"practiceLocations": [
{
"address_1": "915 W Exchange Pkwy",
"address_2": "Suite 100,",
"address_purpose": "LOCATION",
"city": "Allen",
"state": "TX",
"postal_code": "750137017",
"country_code": "US",
"telephone_number": "214-547-1571",
"fax_number": "214-547-7328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "JENNIFER",
"middle_name": "WARD",
"credential": "LMHCA, RN, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-23",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC.70074052",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.