Sara Lee Kern, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC 60650140 Issued in WA

Practice address

2119 10TH Avenue CT SE
Puyallup, WA 98372-4058

Phone

(253) 486-6333

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Jean Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801248364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 2ND AVE S",
            "address_2": "APT 5",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326149",
            "telephone_number": "425-248-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 10TH AVENUE CT SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724058",
            "telephone_number": "253-486-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 2nd Ave S",
            "address_2": "Apt 5",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980326149",
            "country_code": "US",
            "telephone_number": "425-248-7394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "SARA",
        "middle_name": "LEE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60650140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "LEE",
            "middle_name": "JEAN",
            "credential": "LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Hilliard DPM
• Kendra Elizabeth Mikatarian Kent, NP
• Penelope Anita Kent, OTR/L
• Chan Thavy Keo
• Stormie Lee Kerby, MA
• Susanna Joy Kerns
• Stephen R Kerr, M.D.
• Sara Kerrick, M.S., PT
• Kathleen Kerrigan
• Rachel Ann Kerrigan, LMHC

• Mental Health Counselor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.