Sarah Lagrange, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20042999A Issued in IN

Practice address

1918 S Hawksmoore Dr
Bloomington, IN 47401-7155

Phone

(812) 599-0286

NPI assigned

Jan 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Jane Hickman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1548705478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 S HAWKSMOORE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017155",
            "telephone_number": "812-599-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 S HAWKSMOORE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017155",
            "telephone_number": "812-599-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRANGE",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20042999A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HICKMAN",
            "middle_name": "JANE",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James W. Lafollette, M.D.
• Julie Renee Lafollette, PH.D., H.S.P.P.
• Chelsea Nicole Lagrange, PA-C
• Jessica Lagrange, RN
• Michael William Lagrange, M.D.
• Amanda Laiq
• Prabhvir Singh Lakhan
• Steven Lalevich, RD
• Austin Lambert
• Christopher Lambert

• Counseling Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.