Individual provider Active NPI

Sarah A Coombs, MA, LMHC, LPC

  • Professional Counselor
  • Vancouver, WA
National Provider Identifier
1750686945
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3679 Issued in OR
Practice address
303 E 16TH St # 205
Vancouver, WA 98663-3410
Phone
(971) 258-2965
NPI assigned
Jan 19, 2011
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7736 MA
Mental Health Counselor 101YM0800X C3679 OR
Mental Health Counselor 101YM0800X LH60749883 WA
Professional Counselor 101YP2500X C3679 OR Primary

Addresses

Primary practice location

303 E 16TH St # 205
Vancouver, WA 98663-3410

Mailing address

303 E 16TH St # 205
Vancouver, WA 98663-3410

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 Arts

State licenses

LicenseStateTypeSpecialty
LH60749883WAMDMental Health Counselor
C3679ORMDProfessional Counselor
7736MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Synchronicity, LLC Mental Health CurrentSince Dec 27, 2020 Accepting new patients

Locations

303 E 16th St
#205
Vancouver, WA 98663
Phone (971) 258-2965

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": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1750686945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 16TH ST # 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E 16TH ST # 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633410",
            "telephone_number": "971-258-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "MA, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7736",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3679",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60749883",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3679",
            "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 Mar 17, 2020; 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.