Active NPI
Sarah Davison, LMFT
- Marriage & Family Therapist
- Monroe, WA
National Provider Identifier
1669632568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00002623
- Practice address
- 204 W Main St
Suite a
Monroe, WA 98272-1829 - Phone
- (425) 442-2100
- Fax
- (360) 805-0111
- NPI assigned
- Jun 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF00002623 | WA | Primary |
Addresses
Primary practice location
204 W Main St
Suite a
Monroe, WA 98272-1829
Mailing address
204 W Main St
Suite a
Monroe, WA 98272-1829
Phone (425) 442-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LF00002623 | Other | WA | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LF00002623 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1669632568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W MAIN ST",
"address_2": "SUITE A",
"city": "MONROE",
"state": "WA",
"postal_code": "982721829",
"telephone_number": "425-442-2100",
"fax_number": "360-805-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W MAIN ST",
"address_2": "SUITE A",
"city": "MONROE",
"state": "WA",
"postal_code": "982721829",
"telephone_number": "425-442-2100",
"fax_number": "360-805-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "SARAH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00002623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LF00002623",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.