Active NPI
Sarah Nicole Fletcher, LMHCA, CN
- Mental Health Counselor
- Des Moines, WA
National Provider Identifier
1679187009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61090290
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61090290 | WA | MD | Mental Health Counselor |
| NU61089256 | WA | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Solutions Therapy PLLC | Mental Health | Current | 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.