Active NPI
Sarah M Elliott, LCMHC/S, LCAS, CSI
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1104197169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8993
- Practice address
- 3825 Market St Ste 4
Wilmington, NC 28403-1426 - Phone
- (910) 777-5575
- Fax
- (910) 777-5273
- NPI assigned
- Jan 23, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8993 | NC | |
| Professional Counselor | 101YP2500X | 8993 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS1666 | NC |
Addresses
Primary practice location
3825 Market St Ste 4
Wilmington, NC 28403-1426
Mailing address
2018 Eastwood Road
Wilmington, NC 28403
Phone (910) 620-5328
Other names 1
- Ms. Sarah M Mooring
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 |
|---|---|---|---|
| LCAS1666 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Wilmington, NC
- NPI 1477477479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1104197169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 EASTWOOD ROAD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-620-5328",
"fax_number": "910-777-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 MARKET ST STE 4",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031426",
"telephone_number": "910-777-5575",
"fax_number": "910-777-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "SARAH",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCMHC/S, LCAS, CSI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2024-07-17",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8993",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8993",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS1666",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "MOORING",
"middle_name": "M",
"prefix": "MS.",
"credential": "LCMHC/S, LCAS, CSI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.