Individual provider Active NPI

Sarah Jarvis, MA

  • Professional Counselor
  • Somerset, KY
National Provider Identifier
1104249218
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
173185 Issued in KY
Practice address
600 Monticello St Ste 2
Somerset, KY 42501-2974
Phone
(606) 401-2966
Fax
(606) 244-4111
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 173185 KY Primary

Addresses

Primary practice location

600 Monticello St Ste 2
Somerset, KY 42501-2974

Mailing address

PO Box 3932
Somerset, KY 42564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612002554 KY Practitioner - Mental Health Counselor 1557833308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 Ohio LN
London, KY 40741-2026

4010 Dupont Cir
Louisville, KY 40207-4841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
173185KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Health, Inc Past Accepting new patients
Innovative Solutions R & D LLC PastSince Jun 1, 2019 Accepting new patients
Mindsight PLLC Professional PastSince Jan 9, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1104249218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3932",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MONTICELLO ST STE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012974",
            "telephone_number": "606-401-2966",
            "fax_number": "606-244-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "SARAH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "173185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.