Angela Suzanne Sorg, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001487A Issued in IN

Practice address

2410 Donna Lynn LN
Huntertown, IN 46748-9744

Phone

(260) 687-1441

NPI assigned

Mar 19, 2008

Last updated

Apr 9, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1568633394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 DONNA LYNN LN",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489744",
            "telephone_number": "260-687-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 DONNA LYNN LN",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489744",
            "telephone_number": "260-687-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Berry St Ste 2010",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468022311",
            "country_code": "US",
            "telephone_number": "260-908-0674",
            "fax_number": "260-420-5521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORG",
        "first_name": "ANGELA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001487A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.