Individual provider Active NPI

Sarah Nicole Fletcher, LMHCA, CN

  • Mental Health Counselor
  • Des Moines, WA
National Provider Identifier
1679187009
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61090290 Issued in WA
Practice address
22525 Marine View Dr S Ste 200
Des Moines, WA 98198-6879
Phone
(206) 762-3214
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU61089256 WA
Mental Health Counselor 101YM0800X MC61090290 WA Primary

Addresses

Primary practice location

22525 Marine View Dr S Ste 200
Des Moines, WA 98198-6879

Mailing address

22525 Marine View Dr S Ste 200
Des Moines, WA 98198-6879

Other practice location 1

5007 Claremont Way
Everett, WA 98203-3321
Phone (425) 609-5505

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
MC61090290WAMDMental Health Counselor
NU61089256WAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Solutions Therapy PLLC Mental Health CurrentSince Mar 21, 2021 Accepting new patients

Locations

22525 Marine View Dr S
Ste 200
Des Moines, WA 98198
Phone (206) 762-3214

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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1679187009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22525 MARINE VIEW DR S STE 200",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22525 MARINE VIEW DR S STE 200",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986879",
            "telephone_number": "206-762-3214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5007 Claremont Way",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982033321",
            "country_code": "US",
            "telephone_number": "425-609-5505",
            "fax_number": "425-609-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LMHCA, CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU61089256",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61090290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.