Individual provider Active NPI

Dara Catherine Sasaki, CGC

  • Genetic Counselor (M.S.)
  • Philadelphia, PA
National Provider Identifier
1720574320
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC000767 Issued in PA
Practice address
1 South Penn Square
Philadelphia, PA 19107
Phone
(215) 873-2006
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GEN-350 ID
Genetic Counselor (M.S.) 170300000X GC362 KY
Genetic Counselor (M.S.) 170300000X 508 GA
Genetic Counselor (M.S.) 170300000X 70.000665 OH
Genetic Counselor (M.S.) 170300000X GC395 FL
Genetic Counselor (M.S.) 170300000X GC198 AL
Genetic Counselor (M.S.) 170300000X LGC0482 OK
Genetic Counselor (M.S.) 170300000X LGC0251 AR
Genetic Counselor (M.S.) 170300000X 478 TN
Genetic Counselor (M.S.) 170300000X 329474 LA
Genetic Counselor (M.S.) 170300000X 12543942-3601 UT
Genetic Counselor (M.S.) 170300000X 246.000698 IL
Genetic Counselor (M.S.) 170300000X GC001005 CA
Genetic Counselor (M.S.) 170300000X GC000767 PA Primary
Genetic Counselor (M.S.) 170300000X GC704 MA

Addresses

Primary practice location

1 South Penn Square
Philadelphia, PA 19107

Mailing address

202 Fan Branch LN
Chapel Hill, NC 27516-9128

Other names 1

  • Ms. Dara Catherine Harris 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
GC198ALMDGenetic Counselor (M.S.)
LGC0251ARMDGenetic Counselor (M.S.)
GC001005CAMDGenetic Counselor (M.S.)
GC395FLMDGenetic Counselor (M.S.)
508GAMDGenetic Counselor (M.S.)
GEN-350IDMDGenetic Counselor (M.S.)
246.000698ILMDGenetic Counselor (M.S.)
GC362KYMDGenetic Counselor (M.S.)
329474LAMDGenetic Counselor (M.S.)
GC704MAMDGenetic Counselor (M.S.)
70.000665OHMDGenetic Counselor (M.S.)
LGC0482OKMDGenetic Counselor (M.S.)
GC000767PAMDGenetic Counselor (M.S.)
12543942-3601UTMDGenetic Counselor (M.S.)
478TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720574320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FAN BRANCH LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH PENN SQUARE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-873-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASAKI",
        "first_name": "DARA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "ID",
            "license": "GEN-350",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "KY",
            "license": "GC362",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "GA",
            "license": "508",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OH",
            "license": "70.000665",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "FL",
            "license": "GC395",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "AL",
            "license": "GC198",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OK",
            "license": "LGC0482",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "AR",
            "license": "LGC0251",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "TN",
            "license": "478",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "LA",
            "license": "329474",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "12543942-3601",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "246.000698",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001005",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "PA",
            "license": "GC000767",
            "primary": true
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MA",
            "license": "GC704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARA",
            "last_name": "HARRIS",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.