Individual provider Active NPI

Sara Thompson, LPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1275000309
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018028474 Issued in MO
Practice address
3506 S Culpepper Cir Ste F
Springfield, MO 65804-4252
Phone
(417) 888-3012
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2018028474 MO Primary

Addresses

Primary practice location

3506 S Culpepper Cir Ste F
Springfield, MO 65804-4252

Mailing address

3506 S Culpepper Cir Ste F
Springfield, MO 65804-4252
Phone (417) 888-3012

Other practice location 1

139 E US Highway 54 Ste 1C
Camdenton, MO 65020-7320
Phone (417) 888-3012

Other identifiers 2

IdentifierTypeStateIssuer
TPMC4654OtherFLTLHT LICENSED MENTAL HEALTH COUNSELOR
2018028474OtherMOPROFESSIONAL COUNSELOR LICENSE

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
2018028474MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling and Consulting, P.C. Single Specialty CurrentSince Dec 17, 2023 Accepting new patients

Locations

139 E US Highway 54
Ste 1C
Camdenton, MO 65020
Phone (417) 888-3012

3506 S Culpepper Cir
Ste F
Springfield, MO 65804
Phone (417) 888-3012

2200 E Sunshine St
Ste 215
Springfield, MO 65804
Phone (417) 888-3012

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1275000309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 S CULPEPPER CIR STE F",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044252",
            "telephone_number": "417-888-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 S CULPEPPER CIR STE F",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044252",
            "telephone_number": "417-888-3012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 E US Highway 54 Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Camdenton",
            "state": "MO",
            "postal_code": "650207320",
            "country_code": "US",
            "telephone_number": "417-888-3012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SARA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018028474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLHT LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "TPMC4654",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "2018028474",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.