Active NPI
Sara Mae Flathers, LPC 17856
- Professional Counselor
- Sacaton, AZ
National Provider Identifier
1093369134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC17856
- Practice address
- 483 W Seed Farm Rd
Sacaton, AZ 85147-5000 - Phone
- (602) 528-7100
- NPI assigned
- Jul 26, 2019
- Last updated
- Mar 31, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-17856 | AZ | |
| Professional Counselor | 101YP2500X | NU | ||
| Professional Counselor | 101YP2500X | LPC17856 | AZ | Primary |
Addresses
Primary practice location
483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Mailing address
483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone (602) 528-7100
Other practice location 1
2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone (480) 907-6818
Other practice location 2
16620 N 40th St Ste E-1
Phoenix, AZ 85032-3348
Phone (602) 464-9576
Other practice location 3
4801 E McDowell Rd
Phoenix, AZ 85008-7725
Phone (480) 315-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17856 | AZ | MD | Mental Health Counselor |
| LPC17856 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1093369134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 W SEED FARM RD",
"city": "SACATON",
"state": "AZ",
"postal_code": "851475000",
"telephone_number": "602-528-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 W SEED FARM RD",
"city": "SACATON",
"state": "AZ",
"postal_code": "851475000",
"telephone_number": "602-528-7100"
}
],
"practiceLocations": [
{
"address_1": "2450 E Guadalupe Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852345116",
"country_code": "US",
"telephone_number": "480-907-6818",
"fax_number": "480-907-5181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16620 N 40th St Ste E-1",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850323348",
"country_code": "US",
"telephone_number": "602-464-9576",
"fax_number": "602-626-8901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850087725",
"country_code": "US",
"telephone_number": "480-315-1140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLATHERS",
"first_name": "SARA",
"middle_name": "MAE",
"credential": "LPC 17856",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-17856",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC17856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.