Active NPI
Rosemary Grace Sarver, LPC/MHSP
- Mental Health Counselor
- Lebanon, TN
National Provider Identifier
1174712566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2206
- Practice address
- 603 Lindbergh Dr
Apt a
Lebanon, TN 37090-4030 - Phone
- (731) 298-1845
- NPI assigned
- Oct 22, 2007
- Last updated
- Oct 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2206 | TN | Primary |
| Mental Health Counselor | 101YM0800X | 0962 | KY |
Addresses
Primary practice location
603 Lindbergh Dr
Apt a
Lebanon, TN 37090-4030
Mailing address
603 Lindbergh Dr
Apt a
Lebanon, TN 37090-4030
Phone (731) 298-1845
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12014791 | Other | CAQH PROVIDER ID | |
| 1516397 | Medicaid | TN | |
| 4249519 | Other | TN | BCBST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0962 | KY | MD | Mental Health Counselor |
| 2206 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1174712566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LINDBERGH DR",
"address_2": "APT A",
"city": "LEBANON",
"state": "TN",
"postal_code": "370904030",
"telephone_number": "731-298-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 LINDBERGH DR",
"address_2": "APT A",
"city": "LEBANON",
"state": "TN",
"postal_code": "370904030",
"telephone_number": "731-298-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARVER",
"first_name": "ROSEMARY",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "LPC/MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "2206",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "0962",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "12014791",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1516397",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4249519",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.