Individual provider Active NPI

Sandra S Jones, LMFT

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1902220361
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LF60432544 Issued in WA
Practice address
108 SE 124TH Ave Ste 25
Vancouver, WA 98684-6015
Phone
(360) 606-0107
Fax
(360) 326-3826
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 LF60432544 WA Primary

Addresses

Primary practice location

108 SE 124TH Ave Ste 25
Vancouver, WA 98684-6015

Mailing address

108 SE 124TH Ave Ste 25
Vancouver, WA 98684-6015
Phone (360) 606-0107

Other identifiers 1

IdentifierTypeStateIssuer
20150825919054MedicaidWA

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
I20241207000078 WA Practitioner - Marriage and Family Therapist 5799138608 Practice locations: Vancouver, WA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 SE 124TH Ave
Suite 25
Vancouver, WA 98684-6015
Phone (360) 606-0107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1902220361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE STE 25",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846015",
            "telephone_number": "360-606-0107",
            "fax_number": "360-326-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE STE 25",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846015",
            "telephone_number": "360-606-0107",
            "fax_number": "360-326-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SANDRA",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF60432544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20150825919054",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.