Individual provider Active NPI

Sarah Renee Bearss, LPC-MHSP

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1306129721
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
201 Uffelman Dr
Suite F
Clarksville, TN 37043-2975
Phone
(573) 760-6585
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3200 TN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

201 Uffelman Dr
Suite F
Clarksville, TN 37043-2975

Mailing address

6520 Welannee Blvd Ste F
Laurel Hill, FL 32567-7311
Phone (573) 760-6585

Other identifiers 1

IdentifierTypeStateIssuer
Q008733MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@willowtreecounseling1.com

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

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1306129721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 WELANNEE BLVD STE F",
            "city": "LAUREL HILL",
            "state": "FL",
            "postal_code": "325677311",
            "telephone_number": "573-760-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UFFELMAN DR",
            "address_2": "SUITE F",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432975",
            "telephone_number": "573-760-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARSS",
        "first_name": "SARAH",
        "middle_name": "RENEE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008733",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@willowtreecounseling1.com",
            "affiliation": "N",
            "address_1": "6520 Welannee Blvd",
            "city": "Laurel Hill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325677311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.