Organization Active NPI

Sacred Solutions Integrated Counseling PLLC

  • Marriage & Family Therapist
  • Indianola, WA
National Provider Identifier
1912850801
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SACRED SOLUTIONS INTEGRATED COUNSELING PLLC
Practice address
21324 Sister Sky LN NE
Indianola, WA 98342-9706
Phone
(360) 535-4535
NPI assigned
Feb 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Mr. Adam Lee Jackson, LMFTA, SUDPNPI 1942734884
Title
Owner/Managing Member
Phone
(360) 535-4535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

21324 Sister Sky LN NE
Indianola, WA 98342-9706

Mailing address

21324 Sister Sky LN NE
Indianola, WA 98342-9706
Phone (360) 535-4535

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1912850801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21324 SISTER SKY LN NE",
            "city": "INDIANOLA",
            "state": "WA",
            "postal_code": "983429706",
            "telephone_number": "360-535-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21324 SISTER SKY LN NE",
            "city": "INDIANOLA",
            "state": "WA",
            "postal_code": "983429706",
            "telephone_number": "360-535-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SOLUTIONS INTEGRATED COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "360-535-4535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFTA, SUDP"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.