Individual provider Active NPI

Sarah Sudol, LCMHC

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1295189454
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A12239 Issued in NC
Practice address
919 N Main St
Mooresville, NC 28115-2355
Phone
(704) 561-1071
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 A12239 NC Primary

Addresses

Primary practice location

919 N Main St
Mooresville, NC 28115-2355

Mailing address

919 N Main St
Mooresville, NC 28115-2355

Other practice location 1

8401 University Exec Park Dr
Suite 106
Charlotte, NC 28262-3386
Phone (704) 716-1146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212001370 NC Practitioner - Mental Health Counselor 5799128203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A12239NCMDMental Health Counselor
12239NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Homes, LLC CurrentSince Jan 1, 2024 Accepting new patients
Sarah Sudol LLC Current Accepting new patients

Locations

425 Ashley Ridge Blvd
Ste 340
Shreveport, LA 71106

919 N Main St
Mooresville, NC 28115
Phone (704) 360-8486

207 S Broad St
Ste 1
Mooresville, NC 28115
Phone (704) 676-2363

Organizations & group practices 2

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1295189454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152355",
            "telephone_number": "704-561-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 University Exec Park Dr",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623386",
            "country_code": "US",
            "telephone_number": "704-716-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDOL",
        "first_name": "SARAH",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.