Active NPI
Sara W Sutphin, M.ED., LPP
- Counseling Psychologist
- Louisville, KY
National Provider Identifier
1972962348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSYPPR00223553
- Practice address
- 329 Plaza Ave
Louisville, KY 40218-3411 - Phone
- (502) 493-0412
- NPI assigned
- Feb 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSYPPR00223553 | KY | Primary |
Addresses
Primary practice location
329 Plaza Ave
Louisville, KY 40218-3411
Mailing address
329 Plaza Ave
Louisville, KY 40218-3411
Phone (502) 493-0412
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYPPR00223553 | KY | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1972962348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 PLAZA AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183411",
"telephone_number": "502-493-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 PLAZA AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183411",
"telephone_number": "502-493-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTPHIN",
"first_name": "SARA",
"middle_name": "W",
"credential": "M.ED., LPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "KY",
"license": "PSYPPR00223553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.