Individual provider Active NPI

Sara Ann Ulmer

  • Professional Counselor
  • North Little Rock, AR
National Provider Identifier
1053548529
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
513 Main St
North Little Rock, AR 72114-5329
Phone
(501) 777-5969
NPI assigned
Jun 11, 2009
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

513 Main St
North Little Rock, AR 72114-5329

Mailing address

317 Oak St Ste 3
Conway, AR 72032-5679
Phone (501) 291-3091

Other practice location 1

317 Oak St Ste 3
Conway, AR 72032-5679
Phone (501) 291-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20251110003482 AR Practitioner - Mental Health Counselor 7012407760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 158
Nashville, AR 71852-0158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Assessment Center, LLC CurrentSince Mar 9, 2020 Accepting new patients
Therapy Assessment Center LLC CurrentSince Jul 21, 2024 Accepting new patients
McCoy Counseling LLC Counselor CurrentSince Mar 6, 2022 Accepting new patients
Mental Wellness Connection Professional CurrentSince Mar 20, 2025 Accepting new patients
Cornerstone Counseling Clinic, Inc. CurrentSince Aug 15, 2025 Accepting new patients

Locations

317 Oak St
Ste 3
Conway, AR 72032
Phone (501) 291-3091

508 N 2nd St
Nashville, AR 71852
Phone (870) 455-0134

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1053548529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 OAK ST STE 3",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325679",
            "telephone_number": "501-291-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145329",
            "telephone_number": "501-777-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Oak St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720325679",
            "country_code": "US",
            "telephone_number": "501-291-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULMER",
        "first_name": "SARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.