Individual provider Active NPI

Sandra Hunt Bero, LMHC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1912217548
Registry record updated Oct 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003761 Issued in WA
Practice address
108 SE 124TH Ave
Vancouver, WA 98684-6015
Phone
(360) 521-8110
NPI assigned
Oct 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2010

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 LH00003761 WA Primary

Addresses

Primary practice location

108 SE 124TH Ave
Vancouver, WA 98684-6015

Mailing address

PO Box 2922
Battle Ground, WA 98604-2915
Phone (360) 521-8110

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

LicenseStateTypeSpecialty
LH00003761WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287273600000",
    "number": "1912217548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2922",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042915",
            "telephone_number": "360-521-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846015",
            "telephone_number": "360-521-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERO",
        "first_name": "SANDRA",
        "middle_name": "HUNT",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-17",
        "last_updated": "2010-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003761",
            "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 Oct 17, 2010; 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.