Sunrise Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2006036429 Issued in MO

Legal business name

SUNRISE COUNSELING SERVICES, LLC

Practice address

2401 S Jackson Ave
Joplin, MO 64804-1938

Phone

(417) 627-9800

Fax

(417) 627-9800

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Jo Larson, LPC

Title

Owner

Phone

(417) 627-9800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1699076265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041938",
            "telephone_number": "417-627-9800",
            "fax_number": "417-627-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041938",
            "telephone_number": "417-627-9800",
            "fax_number": "417-627-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-627-9800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006036429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494024300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Stuppy, MD
• Gary T. Sturtevant, CRNA
• Jennifer L Sullivan
• Saydi Susanne Sullivan, DC
• Stephen Craig Summers, MS
• Karissa Marie Surgi, PHARM.D.
• Sonu Suri, M.D.
• Namrata Susarla, MD
• Leanna Swager, CRNA
• Sarah Swank

• Professional Counselor in Joplin, MO
• Providers in Joplin, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.