NPIMap

Organization Active NPI

Sunrise Children'S Services, Inc.

  • Mental Health Counselor
  • Mt. Washington, KY
National Provider Identifier
1992820849
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUNRISE CHILDREN'S SERVICES, INC.
Practice address
300 Hope Street
Mt. Washington, KY 40047
Phone
(502) 538-1000
Fax
(502) 538-1100
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Sharon C' de Baca
Title
Executive Assistant to President
Phone
(502) 538-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

300 Hope Street
Mt. Washington, KY 40047

Mailing address

PO Box 1429
Mt Washington, KY 40047-1429
Phone (502) 538-1000

Other identifiers 1

IdentifierTypeStateIssuer
7100326270MedicaidKY

Other names 1

  • Kentucky Baptist Homes for Children Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408001043 KY Part B Supplier - Clinic/Group Practice 9335663780 Receives reassigned benefits from 3 practitioners
Practice locations: Mount Washington, KY; Owensboro, KY; Madisonville, KY; Lexington, KY

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Children'S Services Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

2465 Nicholasville Rd
Ste C
Lexington, KY 40503
Phone (502) 538-1000

1079 Thornberry Dr
Ste D
Madisonville, KY 42431
Phone (270) 874-2560

3180 W Parrish Ave
Owensboro, KY 42301
Phone (270) 683-1188

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1992820849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400471429",
            "telephone_number": "502-538-1000",
            "fax_number": "502-538-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOPE STREET",
            "city": "MT. WASHINGTON",
            "state": "KY",
            "postal_code": "40047",
            "telephone_number": "502-538-1000",
            "fax_number": "502-538-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHILDREN'S SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "C' DE BACA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO PRESIDENT",
        "authorized_official_telephone_number": "502-538-1010"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100326270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Baptist Homes for Children",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kentucky Baptist Homes for Children",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mt. Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.