Individual provider Active NPI

Sarah A Kornhaus

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1194558858
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4644 Issued in NH
Practice address
76 Northeastern Blvd Ste 36a
Nashua, NH 03062-3196
Phone
(603) 881-7554
Fax
(603) 881-7533
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 4644 NH Primary

Addresses

Primary practice location

76 Northeastern Blvd Ste 36a
Nashua, NH 03062-3196

Mailing address

193 Burns Hill Rd
Wilton, NH 03086-5114
Phone (585) 808-2395

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

LicenseStateTypeSpecialty
4644NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willowdale Counseling Center, PLLC CurrentSince Aug 25, 2024 Accepting new patients
Willowdale Counseling Center II PLLC PastSince Aug 25, 2024 Accepting new patients

Locations

76 Northeastern Blvd
Ste 36A
Nashua, NH 03062
Phone (603) 400-2745

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, 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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1194558858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 BURNS HILL RD",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030865114",
            "telephone_number": "585-808-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 36A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623196",
            "telephone_number": "603-881-7554",
            "fax_number": "603-881-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNHAUS",
        "first_name": "SARAH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.