Sara L Kouten, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18551 Issued in FL

Practice address

188 Pine Arbor Cir
Saint Augustine, FL 32084-6522

Phone

(904) 822-4347

Fax

(904) 372-6153

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1386224491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N PONCE DE LEON BLVD STE B",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320841400",
            "telephone_number": "904-822-4347",
            "fax_number": "904-372-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PINE ARBOR CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320846522",
            "telephone_number": "904-822-4347",
            "fax_number": "904-372-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTEN",
        "first_name": "SARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18551",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "445C05966700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Koppman, M.D.
• Cornelia Korey, LMT
• S Graham Kosch, PHD
• Felice I Koscinski, MD
• Jessica Koster, DDS
• Tracy L Kozak, AP
• Dawn E Kpelo
• Dumbor G Kpelo
• Katrinia L Kraemer, FNP
• Christine Marie Krajewski, MD

• Clinical Social Worker in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.