Individual provider Active NPI

Sarah Elizabeth Whaley, LCMHC-A

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1285412700
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19236 Issued in NC
Practice address
3410 Healy Dr Ste 207
Winston Salem, NC 27103-1568
Phone
(336) 793-7005
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 A19236 NC Primary

Addresses

Primary practice location

3410 Healy Dr Ste 207
Winston Salem, NC 27103-1568

Mailing address

2288 Catherines Way Apt 102
Winston Salem, NC 27103-7139
Phone (336) 276-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2026 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A19236NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Counseling Center, PLLC PastSince Sep 24, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1285412700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 CATHERINES WAY APT 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037139",
            "telephone_number": "336-276-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR STE 207",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031568",
            "telephone_number": "336-793-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.