Active NPI
Ellen Sizemore
- Professional Counselor
- Brevard, NC
National Provider Identifier
1114289576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9574
- Practice address
- 69 N Broad St
Brevard, NC 28712-3725 - Phone
- (828) 631-3973
- NPI assigned
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9574 | NC | |
| Professional Counselor | 101YP2500X | 9574 | NC | Primary |
Addresses
Primary practice location
69 N Broad St
Brevard, NC 28712-3725
Mailing address
154 Medical Park Loop
Sylva, NC 28779-5271
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 |
|---|---|---|---|
| 9574 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1114289576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 MEDICAL PARK LOOP",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 N BROAD ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123725",
"telephone_number": "828-631-3973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIZEMORE",
"first_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9574",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.