Individual provider Active NPI

Sarah Jane Couch, LPC

  • Mental Health Counselor
  • Wauwatosa, WI
National Provider Identifier
1942778113
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7161125 Issued in WI
Practice address
830 N 109TH St Ste 3
Wauwatosa, WI 53226-3754
Phone
(414) 865-1305
Fax
(262) 646-6284
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7161125 WI Primary

Addresses

Primary practice location

830 N 109TH St Ste 3
Wauwatosa, WI 53226-3754

Mailing address

2600 N Mayfair Rd Ste 305
Milwaukee, WI 53226-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126002458 WI Practitioner - Mental Health Counselor 7416300306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

830 N 109TH St
Suite 3
Wauwatosa, WI 53226-3754
Phone (414) 865-1305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7161125WIMDMental Health Counselor
7161WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Couch Counseling LLC CurrentSince Jan 12, 2024 Accepting new patients

Locations

830 N 109th St
Ste 3
Wauwatosa, WI 53226
Phone (414) 865-1305

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1942778113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N 109TH ST STE 3",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263754",
            "telephone_number": "414-865-1305",
            "fax_number": "262-646-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7161125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.