Sarah Kincheloe

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55519 Issued in TX

Practice address

2603 Willow St
Austin, TX 78702-5631

Phone

(512) 765-6657

NPI assigned

Sep 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Live Oak Collective LLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1841944857
  Medicare reassignment NPD Authorized official
• S Kincheloe Counseling PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1487361143
  Medicare reassignment NPD Authorized official
• S Kincheloe PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1477146496
  NPD Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1134401995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 WILLOW ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025631",
            "telephone_number": "512-699-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 WILLOW ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025631",
            "telephone_number": "512-765-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHELOE",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashawn Denise Kincaid, PTA
• Daralisa Kincaide
• Courtney Kincannon, RDN
• Kelly Kincheloe, FNP-C
• Robert W. Kincheloe, M.D.
• Kind Therapy Austin
• Maria Cantu Kind, APN
• Kinda Care LLC
• Donald Kindhart, PTA
• Jordan Kindiger, CNIM

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.