Ewell Brent Sugg, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002006236 Issued in MO

Practice address

1667 E Vincent Dr
Springfield, MO 65804-4320

Phone

(417) 246-2213

NPI assigned

Jul 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1942556071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 E VINCENT DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044320",
            "telephone_number": "417-246-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 E VINCENT DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044320",
            "telephone_number": "417-246-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGG",
        "first_name": "EWELL",
        "middle_name": "BRENT",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002006236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499970002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13889142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary R. Sturdevant, RN
• Jenifer Dawn Sturdivan, MA, LPC
• Brittany Leann Sturgeon, PHARMD
• Viswanathan Subramanian, MD
• Shelby Ann Sudholt, MS CCC SLP
• Daniel Suh, DC
• Ra Young Suh, LCSW
• Naseem Majid Sulayman, MD
• Hannah B Sullens, LPC
• Amy Elizabeth Sullins

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.