Active NPI
Sara Beth Bedgood, MSW, LCSWA
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1083056154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P007209
- Practice address
- 100 Capitola Drive
Suite 310
Durham, NC 27713 - Phone
- (919) 474-6400
- NPI assigned
- Jul 18, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P007209 | NC | Primary |
Addresses
Primary practice location
100 Capitola Drive
Suite 310
Durham, NC 27713
Mailing address
62 Merrimar Court
Benson, NC 27504
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P007209 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Villages | Past | Accepting new patients | |
| Youth Villages | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1316170475
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1720453236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1083056154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MERRIMAR COURT",
"city": "BENSON",
"state": "NC",
"postal_code": "27504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAPITOLA DRIVE",
"address_2": "SUITE 310",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-474-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDGOOD",
"first_name": "SARA",
"middle_name": "BETH",
"credential": "MSW, LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P007209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.