Individual provider Active NPI

Sarah Ashley Koop, MED, LPC

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1154702199
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
706 W 12TH PL
Tempe, AZ 85281-5419
Phone
(423) 715-9099
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

706 W 12TH PL
Tempe, AZ 85281-5419

Mailing address

706 W 12TH PL
Tempe, AZ 85281-5419
Phone (423) 715-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240806003270 AZ Practitioner - Mental Health Counselor 7719424936 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Psychology and Wellness, LLC CurrentSince May 25, 2024 Accepting new patients
Spectrum Psychology and Wellness, LLC CurrentSince May 25, 2024 Accepting new patients
Levitan and Associates Psychological Services PLLC PastSince Sep 1, 2023 Accepting new patients

Locations

1772 E Boston St
Ste 105
Gilbert, AZ 85295
Phone (480) 621-7257

6640 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 621-7257

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1154702199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W 12TH PL",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815419",
            "telephone_number": "423-715-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 12TH PL",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815419",
            "telephone_number": "423-715-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOP",
        "first_name": "SARAH",
        "middle_name": "ASHLEY",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.