Active NPI
Sumner-Rae Lagow, MS, LPCC, NCC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1174974562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 127690
- Practice address
- 7410 New Lagrange Rd
Suite 204
Louisville, KY 40222 - Phone
- (209) 743-2480
- NPI assigned
- Jun 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 127690 | KY | |
| Mental Health Counselor | 101YM0800X | 127690 | KY | |
| Professional Counselor | 101YP2500X | 127690 | KY | Primary |
Addresses
Primary practice location
7410 New Lagrange Rd
Suite 204
Louisville, KY 40222
Mailing address
7002 Inkberry CT Apt 1
Louisville, KY 40291-5715
Phone (209) 743-2480
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
| License | State | Type | Specialty |
|---|---|---|---|
| 127690 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Stress & Trauma Center | Professional | Current | Accepting new patients |
Organizations & group practices 1
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": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1174974562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 INKBERRY CT APT 1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402915715",
"telephone_number": "209-743-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 NEW LAGRANGE RD",
"address_2": "SUITE 204",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40222",
"telephone_number": "209-743-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGOW",
"first_name": "SUMNER-RAE",
"credential": "MS, LPCC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "127690",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "127690",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "127690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.