Sara E Staker, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

284007 Issued in KY

Practice address

1150 Paynes Depot Rd
Georgetown, KY 40324-9137

Phone

(859) 940-0375

Fax

(502) 305-2114

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Guided Healing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Georgetown, KY
  • NPI 1033809157
  Medicare reassignment NPD Authorized official
• Lesa Young Counseling, LLC

  • Mental Health Counselor
  • Georgetown, KY
  • NPI 1750854170
  Medicare reassignment

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1134819246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N BRADFORD LN UNIT 1195",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403240318",
            "fax_number": "502-305-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PAYNES DEPOT RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249137",
            "telephone_number": "859-940-0375",
            "fax_number": "502-305-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKER",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "284007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spruce and Sparrow Counseling Services LLC
• Samantha St Clair, PHARMD
• Abigail Lee Stafford
• Hannah Stahl, DPT
• Kristen R Stakelin, M.D.
• Jilda Marie Standish, RRT
• Emily Stanley, M.A. CCC-SLP/IBCLC
• Paula Starcher, SLP-CF
• Jacqueline Stasinos
• Eleanor Meade Stiff

• Mental Health Counselor in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.