Individual provider Active NPI

Susan Sternburg, LMHC

  • Mental Health Counselor
  • Sharon, MA
National Provider Identifier
1205057684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC Issued in MA
Practice address
5 Larason Farm Rd
Sharon, MA 02067-1300
Phone
(781) 784-1850
Fax
(781) 784-6721
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LMHC MA Primary

Addresses

Primary practice location

5 Larason Farm Rd
Sharon, MA 02067-1300

Mailing address

5 Larason Farm Rd
Sharon, MA 02067-1300
Phone (781) 784-1850

Other identifiers 1

IdentifierTypeStateIssuer
LMHC798OtherMALICENSED MENTAL HEALTH CO

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

LicenseStateTypeSpecialty
LMHCMAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205057684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LARASON FARM RD",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671300",
            "telephone_number": "781-784-1850",
            "fax_number": "781-784-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LARASON FARM RD",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671300",
            "telephone_number": "781-784-1850",
            "fax_number": "781-784-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNBURG",
        "first_name": "SUSAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH CO",
            "identifier": "LMHC798",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.