Individual provider Active NPI

Sara Joann Smith, AAC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1689410284
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC.LH.70056160 Issued in WA
Practice address
317 E 39TH St
Vancouver, WA 98663-2233
Phone
(360) 546-1722
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61604731 WA
Mental Health Counselor 101YM0800X MHC.LH.70056160 WA Primary

Addresses

Primary practice location

317 E 39TH St
Vancouver, WA 98663-2233

Mailing address

317 E 39TH St
Vancouver, WA 98663-2233
Phone (360) 546-1722

Other practice location 1

16701 SE McGillivray Blvd Ste 140
Vancouver, WA 98683-3604
Phone (360) 335-7798

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
MC61604731WAMDMental Health Counselor
MHC.LH.70056160WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1689410284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632233",
            "telephone_number": "360-546-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 39TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632233",
            "telephone_number": "360-546-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16701 SE McGillivray Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986833604",
            "country_code": "US",
            "telephone_number": "360-335-7798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "middle_name": "JOANN",
        "credential": "AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61604731",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.70056160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.