Individual provider Active NPI

Sarah Kooiman, LMFT

  • Marriage & Family Therapist
  • Norfolk, VA
National Provider Identifier
1164829040
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
426 E Freemason St Ste 250
Norfolk, VA 23510-2688
Phone
(757) 524-1636
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

426 E Freemason St Ste 250
Norfolk, VA 23510-2688

Mailing address

426 E Freemason St Ste 250
Norfolk, VA 23510-2688
Phone (757) 524-1636

Other identifiers 1

IdentifierTypeStateIssuer
601212448MedicaidVA

Other names 1

  • Sarah Jean-Simpson Kooiman Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
SK Therapeutics LMFT, LLC Current Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients

Locations

3419 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 255-8454

Interoperability endpoints

  • Direct secure messaging: sarahkooiman@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1164829040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E FREEMASON ST STE 250",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102688",
            "telephone_number": "757-524-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E FREEMASON ST STE 250",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102688",
            "telephone_number": "757-524-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOIMAN",
        "first_name": "SARAH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601212448",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KOOIMAN",
            "middle_name": "JEAN-SIMPSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.