Active NPI
Sarah Thompsen
- Mental Health Counselor
- East Islip, NY
National Provider Identifier
1497031686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005277
- Practice address
- 55 Carleton Ave
East Islip, NY 11730-2133 - Phone
- (631) 664-0237
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P74772 | NY | |
| Mental Health Counselor | 101YM0800X | 005277 | NY | Primary |
Addresses
Primary practice location
55 Carleton Ave
East Islip, NY 11730-2133
Mailing address
55 Carleton Ave
East Islip, NY 11730-2133
Phone (631) 664-0237
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
| License | State | Type | Specialty |
|---|---|---|---|
| P74772 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1497031686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CARLETON AVE",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302133",
"telephone_number": "631-664-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CARLETON AVE",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302133",
"telephone_number": "631-664-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSEN",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P74772",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.