Active NPI
Sara Elizabeth Timmons, PH.D., LMFT
- Marriage & Family Therapist
- East Lansing, MI
National Provider Identifier
1629377585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101006428
- Practice address
- 1650 Kendale Blvd
Suite 95
East Lansing, MI 48823-2076 - Phone
- (219) 742-9167
- Fax
- (517) 489-4444
- NPI assigned
- Mar 17, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006428 | MI | Primary |
Addresses
Primary practice location
1650 Kendale Blvd
Suite 95
East Lansing, MI 48823-2076
Mailing address
1650 Kendale Blvd
Suite 95
East Lansing, MI 48823-2076
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101006428 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1629377585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 KENDALE BLVD",
"address_2": "SUITE 95",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 KENDALE BLVD",
"address_2": "SUITE 95",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232076",
"telephone_number": "219-742-9167",
"fax_number": "517-489-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-17",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.