Stepfamily Solutions LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH00004475 Issued in WA

Legal business name

STEPFAMILY SOLUTIONS LLC

Practice address

19500 10TH Ave. NE
Suite 200
Poulbo, WA 98370

Phone

(360) 779-4005

Fax

(360) 394-1707

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Anne White Sagaris, L.M.H.C.NPI 1467095331

Title

Owner/Manager

Phone

(360) 779-4005

Specialties & licenses 2

Addresses

Tax ID family

Stepfamily Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stepfamily Solutions LLC

  • Mental Health Counselor
  • Poulsbo, WA
  • NPI 1750675898
  NPD tax ID

Locations

Practitioners 1

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

• Anne White Sagaris

  • Mental Health Counselor
  • Poulsbo, WA
  • NPI 1467095331
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1992923114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2902",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-4005",
            "fax_number": "360-394-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 10TH AVE. NE",
            "address_2": "SUITE 200",
            "city": "POULBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-4005",
            "fax_number": "360-394-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPFAMILY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "SAGARIS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "360-779-4005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00004475",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.