Individual provider Active NPI

Sharon Lane Booker I, LMHC

  • Mental Health Counselor
  • Bremerton, WA
National Provider Identifier
1720105588
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
WH00009326 Issued in WA
Practice address
7500 Old Military Rd NE
Suite 103
Bremerton, WA 98311-3241
Phone
(360) 698-9258
Fax
(360) 698-9296
NPI assigned
Mar 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WH00009326 WA Primary

Addresses

Primary practice location

7500 Old Military Rd NE
Suite 103
Bremerton, WA 98311-3241

Mailing address

7500 Old Military Rd NE
Suite 103
Bremerton, WA 98311-3241
Phone (360) 698-9258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110002439 WA Practitioner - Mental Health Counselor 6901257393 Practice locations: Bremerton, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7500 Old Military Rd NE
Suite 103
Bremerton, WA 98311-3242
Phone (360) 698-9258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WH00009326WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Lane Booker LMHC Mental Health Current Accepting new patients
Northwest Therapy Inc Past Accepting new patients

Locations

7500 Old Military Rd NE
Ste 103
Bremerton, WA 98311
Phone (360) 698-9258

Organizations & group practices 2

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": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1720105588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-698-9258",
            "fax_number": "360-698-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-698-9258",
            "fax_number": "360-698-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "SHARON",
        "middle_name": "LANE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "WH00009326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.