Active NPI
David Sorensen, LPC-IT
- Mental Health Counselor
- Franklin, WI
National Provider Identifier
1508214370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7143-125
- Practice address
- 8073 S Chapel Hill Dr
Franklin, WI 53132-2429 - Phone
- (414) 810-9073
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7143-125 | WI | Primary |
Addresses
Primary practice location
8073 S Chapel Hill Dr
Franklin, WI 53132-2429
Mailing address
8073 S Chapel Hill Dr
Franklin, WI 53132-2429
Phone (414) 810-9073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3026-226 | Other | WI | WISCONSIN LICENSED PROFESSIONAL COUNSELOR LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1508214370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8073 S CHAPEL HILL DR",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531322429",
"telephone_number": "414-810-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8073 S CHAPEL HILL DR",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531322429",
"telephone_number": "414-810-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "DAVID",
"credential": "LPC-IT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7143-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSED PROFESSIONAL COUNSELOR LICENSE",
"identifier": "3026-226",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.