Individual provider Active NPI

Lisa M Sackett, MFT

  • Marriage & Family Therapist
  • Mason, OH
National Provider Identifier
1831421130
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0800004 Issued in OH
Practice address
7577 Central Parke Blvd
Suite 326
Mason, OH 45040-6810
Phone
(513) 770-3231
Fax
(513) 770-5541
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0800004 OH Primary

Addresses

Primary practice location

7577 Central Parke Blvd
Suite 326
Mason, OH 45040-6810

Mailing address

7577 Central Parke Blvd
Suite 326
Mason, OH 45040-6810
Phone (513) 770-3231

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

LicenseStateTypeSpecialty
0800004OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1831421130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7577 CENTRAL PARKE BLVD",
            "address_2": "SUITE 326",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406810",
            "telephone_number": "513-770-3231",
            "fax_number": "513-770-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7577 CENTRAL PARKE BLVD",
            "address_2": "SUITE 326",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406810",
            "telephone_number": "513-770-3231",
            "fax_number": "513-770-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "0800004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.