Individual provider Active NPI

Sarah Kough

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1366697112
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004425 Issued in VA
Practice address
1015 Eden Way N Ste B
Chesapeake, VA 23320-2787
Phone
(757) 609-2726
Fax
(757) 609-2874
NPI assigned
Nov 20, 2008
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 0701004425 VA Primary

Addresses

Primary practice location

1015 Eden Way N Ste B
Chesapeake, VA 23320-2787

Mailing address

732 Eden Way N Ste E507
Chesapeake, VA 23320-2798
Phone (757) 609-2726

Other practice location 1

17579 Warwick Blvd
Newport News, VA 23603-1343
Phone (757) 888-0400 ext. 243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240205002302 VA Practitioner - Mental Health Counselor 4789027988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Empowerment Counseling Center LLCGroup PAC ID 1557631652, 5 clinicians

Practice addresses (Care Compare)

413 Mount Cross Rd
Suite 106
Danville, VA 24540-4089
Phone (757) 609-2726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Counseling Center LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1015 Eden Way N
Ste B
Chesapeake, VA 23320
Phone (757) 609-2726

732 Eden Way N
Ste E507
Chesapeake, VA 23320
Phone (757) 412-7840

413 Mount Cross Rd
Ste 106
Danville, VA 24540
Phone (252) 258-4783

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1366697112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N STE E507",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-609-2726",
            "fax_number": "757-609-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 EDEN WAY N STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202787",
            "telephone_number": "757-609-2726",
            "fax_number": "757-609-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17579 Warwick Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236031343",
            "country_code": "US",
            "telephone_number": "757-888-0400 x243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUGH",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2023-05-31",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.