Organization Active NPI

Laura Sumpter LCSW

  • Adult Mental Health Clinic/Center
  • Cumming, GA
National Provider Identifier
1437796760
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LAURA SUMPTER LCSW
Practice address
107 W Courthouse SQ
Cumming, GA 30040-1610
Phone
(573) 723-2368
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Mrs. Laura Sumpter, LCSWNPI 1396044376
Title
Therapist
Phone
(573) 723-2368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

107 W Courthouse SQ
Cumming, GA 30040-1610

Mailing address

7190 Wyngate Dr
Cumming, GA 30040-6604
Phone (573) 723-2368

Other identifiers 1

IdentifierTypeStateIssuer
CSW004682OtherGABCBS, HUMANA, AETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapyNotes Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220321001105 GA Part B Supplier - Clinic/Group Practice 6507251022 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

107 W Courthouse Sq
Cumming, GA 30040
Phone (573) 723-2368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1437796760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 WYNGATE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406604",
            "telephone_number": "573-723-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W COURTHOUSE SQ",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401610",
            "telephone_number": "573-723-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA SUMPTER LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "SUMPTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "573-723-2368",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, HUMANA, AETNA",
            "identifier": "CSW004682",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "web-based EMR, therapy notes, practice management, billing and client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 W Courthouse Sq",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300401610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.