Individual provider Active NPI

Sarah Elizabeth Herzberg, MS

  • Counseling Psychologist
  • Atlantic, IA
National Provider Identifier
1316070386
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
072185 Issued in IA
Practice address
1500 E 10TH St
Atlantic, IA 50022-1935
Phone
(712) 243-2606
Fax
(712) 243-7811
NPI assigned
Mar 13, 2007
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 072185 IA Primary

Addresses

Primary practice location

1500 E 10TH St
Atlantic, IA 50022-1935

Mailing address

1500 E 10TH St
Atlantic, IA 50022-1935
Phone (712) 243-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002881 IA Practitioner - Clinical Psychologist 3375850571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Place IncGroup PAC ID 8628042983, 10 clinicians

Practice addresses (Care Compare)

101 E 22ND St
Atlantic, IA 50022-2879
Phone (712) 254-9018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Place, Inc. CurrentSince Oct 3, 2018 Accepting new patients

Locations

427 E Kanesville Blvd
Ste 102
Council Bluffs, IA 51503
Phone (712) 256-9660

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, 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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1316070386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221935",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221935",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "072185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.