Individual provider Active NPI

Karen D Sacks, MS LCPC LHMC

  • Counselor
  • Boca Raton, FL
National Provider Identifier
1174706022
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH8595 Issued in FL
Practice address
7301 W Palmetto Park Rd
Suite 205a
Boca Raton, FL 33433-3456
Phone
(561) 544-8889
Fax
(561) 544-8860
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH8595 FL Primary
Counselor 101Y00000X IL

Addresses

Primary practice location

7301 W Palmetto Park Rd
Suite 205a
Boca Raton, FL 33433-3456

Mailing address

7301 W Palmetto Park Rd
Suite 205a
Boca Raton, FL 33433-3456
Phone (561) 544-8889

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH8595FLMDCounselor
180001969ILMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1174706022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "SUITE 205A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333456",
            "telephone_number": "561-544-8889",
            "fax_number": "561-544-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "SUITE 205A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333456",
            "telephone_number": "561-544-8889",
            "fax_number": "561-544-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "MS LCPC LHMC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH8595",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.