Individual provider Active NPI

Kari R Sugiyama, MS, LPC, NCC

  • Professional Counselor
  • Republic, MO
National Provider Identifier
1104474709
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020003834 Issued in MO
Practice address
281 US Highway 60 W
Republic, MO 65738-1432
Phone
(417) 203-0245
Fax
(417) 280-3369
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
Yes

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2020003834MOMDProfessional Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2020003834 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

281 US Highway 60 W
Republic, MO 65738-1432

Mailing address

281 US Highway 60 W
Republic, MO 65738-1432
Phone (417) 203-0245

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
490080362MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2025.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1104474709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 US HIGHWAY 60 W",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381432",
            "telephone_number": "417-203-0245",
            "fax_number": "417-280-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 US HIGHWAY 60 W",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381432",
            "telephone_number": "417-203-0245",
            "fax_number": "417-280-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIYAMA",
        "first_name": "KARI",
        "middle_name": "R",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020003834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490080362",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Republic, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.