Sarah M Durham, LPCC, NCC
Individual provider Active NPI Professional Counselor · Liberty, KY
NPI 1255801924 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1255801924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 245589 (KY)
- Practice address
- 75 College St
Liberty, KY 42539-3271 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240129001226 | KY | Practitioner - Mental Health Counselor | 4082067871 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past | Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
1673 E Ky 70
Liberty, KY 42539
Phone (606) 787-6769
2834 S US 127
Liberty, KY 42539
Phone (606) 787-6941
6295 E Ky 70
Liberty, KY 42539
Phone (606) 787-1217
1841 E Ky 70
Liberty, KY 42539
Phone (606) 787-6151
75 College St
Liberty, KY 42539
Phone (606) 787-6961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 245589 | KY | Yes |
Addresses
Primary practice location
75 College St
Liberty, KY 42539-3271
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100568680 | Medicaid | KY | |
| 14371968 | Other | CAQH |
Other providers in Liberty, KY
- Morgan Ellyse Dean
- Haley Dotson
- Douglas Todd Downing
- Dr. Michele Beeler, D.M.D., PLLC
- Lindsay Nacole Dunbar
- Timothy R Durham
- Kaitlyn Leanne Eads
- Luann Elmore
- Abigail Emerson
- Emhfl, Inc.
All providers in Liberty, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.