Active NPI
Sara McGowan Sullivan, LPC LICENSED PROFESS
- Counselor
- Stafford, TX
National Provider Identifier
1740326792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12918
- Practice address
- 10701 Corporate Drive
Suite # 220
Stafford, TX 77477 - Phone
- (281) 507-9150
- Fax
- (281) 494-4307
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12918 | TX | Primary |
Addresses
Primary practice location
10701 Corporate Drive
Suite # 220
Stafford, TX 77477
Mailing address
8102 Burning Hills Dr
Houston, TX 77071
Phone (713) 773-0787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12918 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740326792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 BURNING HILLS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77071",
"telephone_number": "713-773-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 CORPORATE DRIVE",
"address_2": "SUITE # 220",
"city": "STAFFORD",
"state": "TX",
"postal_code": "77477",
"telephone_number": "281-507-9150",
"fax_number": "281-494-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "SARA",
"middle_name": "MCGOWAN",
"name_prefix": "Ms.",
"credential": "LPC LICENSED PROFESS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "12918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.