Active NPI
Sara Degenova Sellers, M.A. LPC
- Counselor
- Saint Louis, MO
National Provider Identifier
1770766347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2005024370
- Practice address
- 10820 Sunset Office Dr
Suite 108
Saint Louis, MO 63127-1016 - Phone
- (314) 223-6340
- NPI assigned
- Dec 6, 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 | 2005024370 | MO | Primary |
Addresses
Primary practice location
10820 Sunset Office Dr
Suite 108
Saint Louis, MO 63127-1016
Mailing address
223 Montesano Park Dr
Imperial, MO 63052-2475
Phone (314) 223-6340
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005024370 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1770766347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MONTESANO PARK DR",
"city": "IMPERIAL",
"state": "MO",
"postal_code": "630522475",
"telephone_number": "314-223-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 SUNSET OFFICE DR",
"address_2": "SUITE 108",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271016",
"telephone_number": "314-223-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "SARA",
"middle_name": "DEGENOVA",
"name_prefix": "Ms.",
"credential": "M.A. LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2005024370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.