Jessica Lynn Sugamele, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

68042 Issued in TX

Practice address

2145 Paradise Ridge Dr
Round Rock, TX 78665-7908

Phone

(512) 436-8013

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1801177100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 PARADISE RIDGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786657908",
            "telephone_number": "512-436-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 PARADISE RIDGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786657908",
            "telephone_number": "512-436-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAMELE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68042",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-6091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Corina Stubblefield, SLP
• Emily Studebaker, OD
• Biqi Su
• Subash Mutyala, P.a.
• Kaitlin Sucher, M.S. CCC-SLP
• Emily Sullivan
• Erin C Sullivan, D.P.T
• Kim Sullivan, MA, LPC, RPT, NCC
• Lauren Nicole Sullivan, LPC
• Olivia Grace Sullivan, RDN, LD

• Mental Health Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.