NPIMap

Individual provider Active NPI

Sarah Nutter

  • Counselor
  • Burtonsville, MD
National Provider Identifier
1346889896
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP9782 Issued in MD
Practice address
3909 National Dr Ste 100
Burtonsville, MD 20866-1192
Phone
(240) 389-1487
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP9782 MD
Counselor 101Y00000X LGP9782 MD Primary

Addresses

Primary practice location

3909 National Dr Ste 100
Burtonsville, MD 20866-1192

Mailing address

10709 Chapeldale Rd
Randallstown, MD 21133-1044
Phone (443) 864-0612

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
LGP9782MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rasa, LLC Counselor CurrentSince May 31, 2020 Accepting new patients

Locations

3909 National Dr
Ste 100
Burtonsville, MD 20866
Phone (240) 755-8089

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1346889896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 CHAPELDALE RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331044",
            "telephone_number": "443-864-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 NATIONAL DR STE 100",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661192",
            "telephone_number": "240-389-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9782",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP9782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.