Individual provider Active NPI

Sara Fleehart, M.S., LMFTA

  • Marriage & Family Therapist
  • Bainbridge Island, WA
National Provider Identifier
1679750475
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG 60115036 Issued in WA
Practice address
11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353
Phone
(206) 780-7782
Fax
(206) 780-1964
NPI assigned
Jan 24, 2008
Last updated
Nov 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG 60115036 WA Primary

Addresses

Primary practice location

11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353

Mailing address

PO Box 11704
Bainbridge Island, WA 98110-5704
Phone (206) 780-7782

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
Master of Science

State licenses

LicenseStateTypeSpecialty
MG 60115036WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1679750475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11704",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105704",
            "telephone_number": "206-780-7782",
            "fax_number": "206-780-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11290 SUNRISE DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101353",
            "telephone_number": "206-780-7782",
            "fax_number": "206-780-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEEHART",
        "first_name": "SARA",
        "credential": "M.S., LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG 60115036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.