Individual provider Active NPI

Larry Lee Sinsabaugh, PHD

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1750405676
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701-00000036 Issued in VA
Practice address
4801 Hermitage Rd
Suite 20
Richmond, VA 23227-3332
Phone
(804) 262-0571
Fax
(804) 262-5937
NPI assigned
Mar 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717-000060 VA
Case Manager/Care Coordinator 171M00000X 0715-000035 VA
Community/Behavioral Health Agency 251S00000X 09-574058 VA
Professional Counselor 101YP2500X 2104 NC
Professional Counselor 101YP2500X 1377 WV
Counselor 101Y00000X 001735 MD
Professional Counselor 101YP2500X 0701-00000036 VA Primary

Addresses

Primary practice location

4801 Hermitage Rd
Suite 20
Richmond, VA 23227-3332

Mailing address

4801 Hermitage Rd Ste 20
Richmond, VA 23227-3332
Phone (804) 262-0571

Other names 1

  • Dr. Larry Lee Sinsabaugh Professional 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001735MDMDCounselor
0701-00000036VAMDProfessional Counselor
1377WVMDProfessional Counselor
0717-000060VAMDMarriage & Family Therapist
0715-000035VAMDCase Manager/Care Coordinator
2104NCMDAthletic Trainer
09-574058VAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Sinsabaugh Consulting Services, PC Counselor 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": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1750405676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HERMITAGE RD STE 20",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273332",
            "telephone_number": "804-262-0571",
            "fax_number": "804-262-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HERMITAGE RD",
            "address_2": "SUITE 20",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273332",
            "telephone_number": "804-262-0571",
            "fax_number": "804-262-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINSABAUGH",
        "first_name": "LARRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717-000060",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "0715-000035",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "09-574058",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2104",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1377",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "001735",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701-00000036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "SINSABAUGH",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "LPC, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.