Individual provider Active NPI

Sara B Metts, EDS, PLPC

  • Professional Counselor
  • Joplin, MO
National Provider Identifier
1699024315
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012030032 Issued in MO
Practice address
705 Illinois Ave
22
Joplin, MO 64801-5067
Phone
(417) 627-9994
Fax
(417) 627-9995
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2012030032 MO Primary

Addresses

Primary practice location

705 Illinois Ave
22
Joplin, MO 64801-5067

Mailing address

705 Illinois Ave
22
Joplin, MO 64801-5067
Phone (417) 627-9994

Other names 1

  • Sara B Randall Former name

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

State licenses

LicenseStateTypeSpecialty
2012030032MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of the Four States, LLC Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1699024315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ILLINOIS AVE",
            "address_2": "22",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015067",
            "telephone_number": "417-627-9994",
            "fax_number": "417-627-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 ILLINOIS AVE",
            "address_2": "22",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015067",
            "telephone_number": "417-627-9994",
            "fax_number": "417-627-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTS",
        "first_name": "SARA",
        "middle_name": "B",
        "credential": "EDS, PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012030032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RANDALL",
            "middle_name": "B",
            "credential": "EDS, PLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.