Individual provider Active NPI

Janet Susan Sprouse, LPC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1871684902
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003325 Issued in VA
Practice address
1301 Peters Creek Rd NW
Roanoke, VA 24017
Phone
(540) 904-6799
Fax
(540) 904-6369
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701003325 VA Primary

Addresses

Primary practice location

1301 Peters Creek Rd NW
Roanoke, VA 24017

Mailing address

2694 Summit Ridge Rd
Roanoke, VA 24012-6933
Phone (540) 977-1286

Other practice location 1

3441 Brandon Ave SW Ste 100
Roanoke, VA 24018-1521
Phone (540) 777-3935

Other names 1

  • Janet Susan Suddath Former 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

State licenses

LicenseStateTypeSpecialty
0701003325VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
East Mental Health Services LLC PastSince Jul 1, 2012 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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1871684902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 SUMMIT RIDGE RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126933",
            "telephone_number": "540-977-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PETERS CREEK RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24017",
            "telephone_number": "540-904-6799",
            "fax_number": "540-904-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3441 Brandon Ave SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240181521",
            "country_code": "US",
            "telephone_number": "540-777-3935",
            "fax_number": "540-777-3438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "JANET",
        "middle_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "SUDDATH",
            "middle_name": "SUSAN",
            "credential": "LPC;CSAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.