NPIMap

Organization Active NPI

Sunrise Children'S Services

  • Mental Health Counselor
  • Mt Washington, KY
National Provider Identifier
1033715982
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUNRISE CHILDREN'S SERVICES
Practice address
300 Hope St
Mt Washington, KY 40047-7757
Phone
(502) 538-1000
Fax
(502) 538-1100
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Danielle N Mertz
Title
FS Operations Analyst
Phone
(502) 538-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

300 Hope St
Mt Washington, KY 40047-7757

Mailing address

300 Hope St
Mt Washington, KY 40047-7757
Phone (502) 538-1000

Other identifiers 1

IdentifierTypeStateIssuer
7100326270MedicaidKY

Other names 1

  • Mt. Washington Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Children'S Services Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1033715982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOPE ST",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477757",
            "telephone_number": "502-538-1000",
            "fax_number": "502-538-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOPE ST",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477757",
            "telephone_number": "502-538-1000",
            "fax_number": "502-538-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FS OPERATIONS ANALYST",
        "authorized_official_telephone_number": "502-538-1000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100326270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Washington Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.