Individual provider Active NPI

Sarah Dang

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1184031072
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002607A Issued in IN
Practice address
2345 S Lynhurst Dr Ste 108
Indianapolis, IN 46241-5100
Phone
(317) 801-3737
NPI assigned
Jul 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002607A IN Primary

Addresses

Primary practice location

2345 S Lynhurst Dr Ste 108
Indianapolis, IN 46241-5100

Mailing address

8219 Fendler Dr
Indianapolis, IN 46259-9794
Phone (317) 697-7730

Other names 1

  • Sarah Anne Haynes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39002607AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Counseling and Resilience Center, LLC Mental Health CurrentSince Apr 30, 2023 Accepting new patients
Fifth Year Counseling LLC Mental Health CurrentSince Apr 30, 2023 Accepting new patients

Locations

2345 S Lynhurst Dr
Ste 108
Indianapolis, IN 46241
Phone (317) 801-3737

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.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1184031072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8219 FENDLER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462599794",
            "telephone_number": "317-697-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S LYNHURST DR STE 108",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415100",
            "telephone_number": "317-801-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002607A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HAYNES",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.