Organization Active NPI

Sugar Creek Counseling LLC

  • Community/Behavioral Health Agency
  • Carmel, IN
National Provider Identifier
1649773102
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUGAR CREEK COUNSELING LLC
Practice address
600 E Carmel Dr Ste 108
Carmel, IN 46032-3003
Phone
(317) 523-7431
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Sarah K Glass, LMHC
Title
Owner
Phone
(317) 523-7431

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

600 E Carmel Dr Ste 108
Carmel, IN 46032-3003

Mailing address

600 E Carmel Dr Ste 108
Carmel, IN 46032-3003
Phone (317) 523-7431

Other practice location 1

17437 Carey Rd # 108
Westfield, IN 46074-9439

Other practice location 2

17437 Carey Rd # 108
Westfield, IN 46074-9439
Phone (317) 523-7431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202000734 IN Part B Supplier - Clinic/Group Practice 0143631846 Receives reassigned benefits from 3 practitioners
Practice locations: Carmel, IN

National Provider Directory

National Provider Directory

Locations

600 E Carmel Dr
Ste 108
Carmel, IN 46032
Phone (317) 523-7431

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1649773102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 108",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323003",
            "telephone_number": "317-523-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 108",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323003",
            "telephone_number": "317-523-7431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17437 Carey Rd # 108",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460749439",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17437 Carey Rd # 108",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460749439",
            "country_code": "US",
            "telephone_number": "317-523-7431",
            "fax_number": "317-523-7431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUGAR CREEK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-523-7431",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.