Active NPI
Sandra Lynn McLeod
- Marriage & Family Therapist
- Lacey, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60867756
- Practice address
- The Marston Center, 677 Woodland Square Loop SE
Suite C-5
Lacey, WA 98503 - Phone
- (360) 209-2422
- NPI assigned
- Mar 26, 2015
- Last updated
- Aug 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60867756 | WA | Primary |
Addresses
Primary practice location
The Marston Center, 677 Woodland Square Loop SE
Suite C-5
Lacey, WA 98503
Mailing address
The Marston Center, 677 Woodland Square Loop Southeast
Suite C-5
Lacey, WA 98503
Phone (360) 209-2422
Other practice location 1
325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8452
Other practice location 2
1534 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 357-2370
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 |
|---|---|---|---|
| LF60867756 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Therapy LLC | Current | Accepting new patients |
Locations
1534 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 357-2370
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1740674712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE MARSTON CENTER, 677 WOODLAND SQUARE LOOP SOUTHEAST",
"address_2": "SUITE C-5",
"city": "LACEY",
"state": "WA",
"postal_code": "98503",
"telephone_number": "360-209-2422",
"fax_number": "360-352-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE MARSTON CENTER, 677 WOODLAND SQUARE LOOP SE",
"address_2": "SUITE C-5",
"city": "LACEY",
"state": "WA",
"postal_code": "98503",
"telephone_number": "360-209-2422"
}
],
"practiceLocations": [
{
"address_1": "325 E Pioneer",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723265",
"country_code": "US",
"telephone_number": "253-697-8452",
"fax_number": "253-697-3730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1534 Bishop Rd SW",
"address_purpose": "LOCATION",
"city": "Tumwater",
"state": "WA",
"postal_code": "98512",
"country_code": "US",
"telephone_number": "360-357-2370",
"fax_number": "360-357-2374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEOD",
"first_name": "SANDRA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2021-08-30",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60867756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.