Individual provider Active NPI

Sara Ellen Anderson, LPC

  • Counselor
  • Sumter, SC
National Provider Identifier
1053884346
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7894 Issued in SC
Practice address
1110 Twin Lakes Dr
Sumter, SC 29154-7175
Phone
(803) 525-3729
NPI assigned
Jan 9, 2019
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X 7894 SC Primary

Addresses

Primary practice location

1110 Twin Lakes Dr
Sumter, SC 29154-7175

Mailing address

1110 Twin Lakes Dr
Sumter, SC 29154-7175
Phone (803) 525-3729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241024003173 SC Practitioner - Mental Health Counselor 9739629841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7894SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A New Tomorrow CurrentSince Jun 27, 2024 Accepting new patients
Kershaw County Commission on Alcohol and Drug Abuse CurrentSince May 20, 2026 Accepting new patients
Kershaw County Commission on Alcohol and Drug Abuse Counselor PastSince May 20, 2026 Accepting new patients

Locations

26 Wesmark Ct
Sumter, SC 29150
Phone (803) 883-4981

Organizations & group practices 3

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1053884346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 TWIN LAKES DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547175",
            "telephone_number": "803-525-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 TWIN LAKES DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547175",
            "telephone_number": "803-525-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SARA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "7894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.