Active NPI
Karly Sorensen, LPCA
- Professional Counselor
- Mount Pleasant, SC
National Provider Identifier
1265274450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9002
- Practice address
- 890 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-6129 - Phone
- (843) 884-3888
- NPI assigned
- Jun 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9002 | SC | Primary |
Addresses
Primary practice location
890 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-6129
Mailing address
890 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-6129
Phone (843) 884-3888
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 |
|---|---|---|---|
| 9002 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seeds of Life | Professional | Past | 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": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1265274450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 JOHNNIE DODDS BLVD STE A",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294646129",
"telephone_number": "843-884-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 JOHNNIE DODDS BLVD STE A",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294646129",
"telephone_number": "843-884-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "KARLY",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "9002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.