Individual provider Active NPI

Sarah Callow-St. George, M.A.

  • Mental Health Counselor
  • Huntington Beach, CA
National Provider Identifier
1043686983
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PCCI783 Issued in CA
Practice address
18811 Huntington St Ste 200
Huntington Beach, CA 92648-6003
Phone
(714) 323-6163
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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 PCCI783 CA Primary

Addresses

Primary practice location

18811 Huntington St Ste 200
Huntington Beach, CA 92648-6003

Mailing address

405 20TH St Apt B
Huntington Beach, CA 92648-3858
Phone (714) 323-6163

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 Arts

State licenses

LicenseStateTypeSpecialty
PCCI783CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1043686983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 20TH ST APT B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483858",
            "telephone_number": "714-323-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST STE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486003",
            "telephone_number": "714-323-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOW-ST. GEORGE",
        "first_name": "SARAH",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PCCI783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.