Sara Elizabeth Connell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

122 NE Beacon Dr
Grants Pass, OR 97526-3840

Phone

(541) 507-6400

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Things That Matter Counseling LLC

  • Mental Health Counselor
  • Merlin, OR
  • NPI 1649134792
  NPD Authorized official
• Transform Youth and Family Counseling, LLC

  • Mental Health Counselor
  • Grants Pass, OR
  • NPI 1073192654
  NPD (past)

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1104690650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 GALICE RD",
            "city": "MERLIN",
            "state": "OR",
            "postal_code": "975329731",
            "telephone_number": "727-631-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NE BEACON DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263840",
            "telephone_number": "541-507-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Medical Fitness LLC
• Brook Compton, QHMA, CADC I, CRM
• Kristen Rose Conicelli
• Kate Marie Conley, PSS
• Monica Conley
• Lyn Conner
• Chris Kitty Conrad, AAS
• Paulina M Contreras, LMT
• Catherine Cook, CADC-R
• Edward R Cook, CRNA

• Mental Health Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.