Sandra Elizabeth Tudor, M.A., L.M.H.C.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60273486 Issued in WA

Practice address

304 Main Ave S
Renton, WA 98057-2758

Phone

(206) 914-0426

Fax

(425) 264-0548

NPI assigned

Aug 9, 2010

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 Jul 22, 2024 through Jul 22, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Aquiline Counseling, LLC

  • Mental Health Counselor
  • Covington, WA
  • NPI 1396138426
  NPD (past) Authorized official

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1942515424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27010 190TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428486",
            "telephone_number": "206-914-0426",
            "fax_number": "425-264-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758",
            "telephone_number": "206-914-0426",
            "fax_number": "425-264-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "SANDRA",
        "middle_name": "ELIZABETH",
        "credential": "M.A., L.M.H.C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60273486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Tu DO
• Cam N Tu, RPH
• Junyang Tu, RN, ARNP
• Tiffany Tu, PHARMD
• Laurie L Tucker, LMHC
• Martin S. Tullus, M.D.
• Ching Tung, PT
• Markie Turley
• Rebecca Turnbow, PA-C
• Chantel L. Turner, PA-C

• Mental Health Counselor in Renton, WA
• Providers in Renton, 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 Jul 23, 2012; 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.