Active NPI
John Sobraske, LMHC, LMFT
- Professional Counselor
- Rochester, NY
National Provider Identifier
1932331790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003423-1
- Practice address
- 11 N Goodman St
Suite 34
Rochester, NY 14607-1568 - Phone
- (585) 271-1360
- NPI assigned
- Aug 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003423-1 | NY | |
| Professional Counselor | 101YP2500X | 003423-1 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 000639-1 | NY |
Addresses
Primary practice location
11 N Goodman St
Suite 34
Rochester, NY 14607-1568
Mailing address
11 N Goodman St
Suite 34
Rochester, NY 14607-1568
Phone (585) 271-1360
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003423-1 | NY | MD | Mental Health Counselor |
| 000639-1 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1932331790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 N GOODMAN ST",
"address_2": "SUITE 34",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071568",
"telephone_number": "585-271-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N GOODMAN ST",
"address_2": "SUITE 34",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071568",
"telephone_number": "585-271-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBRASKE",
"first_name": "JOHN",
"credential": "LMHC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003423-1",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "003423-1",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000639-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.