Individual provider Active NPI

Charles Brian Sugar, LPC, MHSP

  • Counselor
  • Brentwood, TN
National Provider Identifier
1467692913
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2255 Issued in TN
Practice address
205 Powell PL
Suite 129
Brentwood, TN 37027-7522
Phone
(615) 369-0650
Fax
(615) 523-1645
NPI assigned
Feb 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2255 TN Primary

Addresses

Primary practice location

205 Powell PL
Suite 129
Brentwood, TN 37027-7522

Mailing address

205 Powell PL
Suite 129
Brentwood, TN 37027-7522
Phone (615) 369-0650

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

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1467692913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 POWELL PL",
            "address_2": "SUITE 129",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277522",
            "telephone_number": "615-369-0650",
            "fax_number": "615-523-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 POWELL PL",
            "address_2": "SUITE 129",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277522",
            "telephone_number": "615-369-0650",
            "fax_number": "615-523-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LPC, MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.