Individual provider Active NPI

Jennifer Sanders, LPP

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1801930185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
172730 Issued in KY
Practice address
7980 New la Grange Rd Ste 7
Louisville, KY 40222-4767
Phone
(502) 904-3509
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X KY
Clinical Psychologist 103TC0700X 172730 KY Primary

Addresses

Primary practice location

7980 New la Grange Rd Ste 7
Louisville, KY 40222-4767

Mailing address

7980 New la Grange Rd Ste 7
Louisville, KY 40222-4767
Phone (502) 904-3509

Other practice location 1

107 Cranes Roost Ct
Elizabethtown, KY 42701-3650
Phone (270) 765-2605 ext. 1936

Other identifiers 1

IdentifierTypeStateIssuer
30605018MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
172730KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer L. Sanders LPP LLC Clinical CurrentSince Jul 24, 2022 Accepting new patients

Locations

7980 New La Grange Rd
Ste 7
Louisville, KY 40222
Phone (502) 386-9731

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801930185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 NEW LA GRANGE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224767",
            "telephone_number": "502-904-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 NEW LA GRANGE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224767",
            "telephone_number": "502-904-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Cranes Roost Ct",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427013650",
            "country_code": "US",
            "telephone_number": "270-765-2605 x1936",
            "fax_number": "270-234-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JENNIFER",
        "credential": "LPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "172730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

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.