SANDRA ELIZABETH TUDOR M.A., L.M.H.C.A.
NPI 1942515424
Counselor - Mental Health in Renton, WA

Active since August 09, 2010Opted out of Medicare · through Jul 22, 2028
304 MAIN AVE S, RENTON, WA 98057(206) 914-0426(425) 264-0548 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Sandra Elizabeth Tudor M.a., L.m.h.c.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA ELIZABETH TUDOR M.A., L.M.H.C.A. (NPI 1942515424) is an individual mental health provider in Renton, Washington, licensed in Washington (MC60273486) and active in the NPI registry since August 2010. She has opted out of Medicare through July 22, 2028.

NPPES Registry Identity

NPI1942515424
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSANDRA ELIZABETH TUDORCredential: M.A., L.M.H.C.A.
Location Address304 MAIN AVE SRenton, WA 98057-2758
Mailing Address27010 190th Ave SeCovington, WA 98042-8486 · (206) 914-0426 · Fax (425) 264-0548
Fax(425) 264-0548
Sole ProprietorYes
Enumeration DateAugust 9, 2010
Last NPPES UpdateJuly 23, 2012
NPI 1942515424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · MC60273486
304 MAIN AVE S, Renton, WA 98057

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Sandra Elizabeth Tudor M.a., L.m.h.c.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2024 through July 22, 2028.

Opt-Out Effective DateJuly 22, 2024
Opt-Out In Effect ThroughJuly 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
304 MAIN AVE S, 203
RENTON, WA 98057
Counselor (Mental Health)
304 MAIN AVE S, SUITE 301
RENTON, WA 98057
Naturopath
304 MAIN AVE S, STE 201
RENTON, WA 98057
Chiropractor
304 MAIN AVE S, 203
RENTON, WA 98057
Social Worker (Clinical)
304 MAIN AVE S, STE 102
RENTON, WA 98057
Psychologist (Clinical)
304 MAIN AVE S, STE 303
RENTON, WA 98057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Tudor's NPI number?

The NPI number for Sandra Tudor is 1942515424. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Sandra Tudor located?

Sandra Tudor practices at 304 Main Ave S, Renton, WA 98057. The listed phone number is (206) 914-0426.

What is Sandra Tudor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sandra Tudor enrolled in Medicare?

No. Sandra Tudor has opted out of Medicare through July 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Sandra Tudor accept?

Health plans from PacificSource Health Plans list Sandra Tudor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Tudor was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.