Active NPI
Sacorra Breanna Hepburn
- Behavior Technician
- Upper Marlboro, MD
National Provider Identifier
1972144822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 176 Greenmeadow Way Apt a
Upper Marlboro, MD 20774-1147 - Phone
- (352) 255-1894
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Technician | 106S00000X | MD | Primary |
Addresses
Primary practice location
176 Greenmeadow Way Apt a
Upper Marlboro, MD 20774-1147
Mailing address
176 Greenmeadow Way Apt a
Upper Marlboro, MD 20774-1147
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | sacorrabhepburn@gmail.com | Health Information Exchange (HIE) | Within Me Therapy, LLC |
| Other URL | sacorrabhepburn@gmail.com | Other | Within Me Therapy, LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1972144822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 GREENMEADOW WAY APT A",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 GREENMEADOW WAY APT A",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741147",
"telephone_number": "352-255-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEPBURN",
"first_name": "SACORRA",
"middle_name": "BREANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sacorrabhepburn@gmail.com",
"affiliation": "Y",
"affiliationName": "Within Me Therapy, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "8128 Mandan Ter",
"city": "Greenbelt",
"state": "MD",
"country_code": "US",
"postal_code": "207702638",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sacorrabhepburn@gmail.com",
"affiliation": "Y",
"affiliationName": "Within Me Therapy, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "ALL",
"address_1": "8128 Mandan Ter",
"city": "Greenbelt",
"state": "MD",
"country_code": "US",
"postal_code": "207702638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.