Active NPI
Sondra Lee Laverne, L.M.H.C.
- Mental Health Counselor
- Everett, WA
National Provider Identifier
1932140985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00007828
- Practice address
- 811 Madison St
Everett, WA 98203-4543 - Phone
- (425) 212-4200
- Fax
- (425) 212-4201
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00007828 | WA | Primary |
Addresses
Primary practice location
811 Madison St
Everett, WA 98203-4543
Mailing address
739 Cresent Dr
Camano Island, WA 98282-7587
Phone (425) 870-9347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00007828 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients |
Locations
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
2901 174th St NE
Marysville, WA 98271
Phone (360) 454-1900
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1932140985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 CRESENT DR",
"city": "CAMANO ISLAND",
"state": "WA",
"postal_code": "982827587",
"telephone_number": "425-870-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MADISON ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034543",
"telephone_number": "425-212-4200",
"fax_number": "425-212-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERNE",
"first_name": "SONDRA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "L.M.H.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00007828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.