Individual provider Active NPI

Sarah E Kuchta-Humphrey, LPC

  • Professional Counselor
  • Orange, CT
National Provider Identifier
1275812455
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002087 Issued in CT
Practice address
236 Boston Post Rd Ste 8
Orange, CT 06477-3236
Phone
(203) 600-8900
Fax
(203) 306-3003
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002087 CT Primary

Addresses

Primary practice location

236 Boston Post Rd Ste 8
Orange, CT 06477-3236

Mailing address

236 Boston Post Rd Ste 8
Orange, CT 06477-3236
Phone (203) 600-8900

Other identifiers 1

IdentifierTypeStateIssuer
008039761MedicaidCT

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
002087CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Services, LLC Professional CurrentSince Jun 4, 2023 Accepting new patients

Locations

4 Oxford Rd
Ste C1
Milford, CT 06460
Phone (203) 600-8900

236 Boston Post Rd
Ste 8
Orange, CT 06477
Phone (203) 600-8900

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1275812455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BOSTON POST RD STE 8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773236",
            "telephone_number": "203-600-8900",
            "fax_number": "203-306-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BOSTON POST RD STE 8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773236",
            "telephone_number": "203-600-8900",
            "fax_number": "203-306-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHTA-HUMPHREY",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008039761",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.