Sara Bickerstaff, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60289638 Issued in WA

Practice address

16771 NE 80TH St
Suite 108
Redmond, WA 98052-3959

Phone

(206) 659-9530

NPI assigned

Dec 29, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1861937948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 132ND AVE SE APT B105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980055324",
            "telephone_number": "206-659-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16771 NE 80TH ST",
            "address_2": "SUITE 108",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523959",
            "telephone_number": "206-659-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKERSTAFF",
        "first_name": "SARA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60289638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayan Kishori Bhatnagar, MD
• Krutika Shivaji Bhosale, PT
• Carol Ann Biagianti, M.A.
• Thom Bianco, MA
• Daniel Bickel, D.D.S.
• Jeffrey Binstock, O.D.
• Chrysteil Lynn Bird
• Jeannette Blair Birnbach, DC, MS, CN, CCN
• Magnita Spence Black
• Wendy Jeannette Blackburn, LMT

• Mental Health Counselor in Redmond, WA
• Providers in Redmond, 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 Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.