Active NPI
Sarahjane Kleinsasser, CADC II
- Counselor
- W Sacramento, CA
National Provider Identifier
1316420474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A051760420
- Practice address
- 500 Jefferson Blvd
W Sacramento, CA 95605-2350 - Phone
- (530) 554-0924
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A051760420 | CA | |
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | A051760420 | CA | Primary |
Addresses
Primary practice location
500 Jefferson Blvd
W Sacramento, CA 95605-2350
Mailing address
285 4TH St
Woodland, CA 95695-3501
Phone (530) 662-2699
Other practice location 1
285 4th St
Woodland, CA 95695-3501
Phone (530) 662-2699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A051760420 | Other | CA | CCAPP-CADC-II |
Other names 1
- Miss Sarah Jane Kleinsasser
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
| License | State | Type | Specialty |
|---|---|---|---|
| A051760420 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yolo Wayfarer Center (Christian Mission) | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Woodland, CA
- NPI 1831543578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1316420474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 4TH ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953501",
"telephone_number": "530-662-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JEFFERSON BLVD",
"city": "W SACRAMENTO",
"state": "CA",
"postal_code": "956052350",
"telephone_number": "530-554-0924"
}
],
"practiceLocations": [
{
"address_1": "285 4th St",
"address_purpose": "LOCATION",
"city": "Woodland",
"state": "CA",
"postal_code": "956953501",
"country_code": "US",
"telephone_number": "530-662-2699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEINSASSER",
"first_name": "SARAHJANE",
"name_prefix": "Miss",
"credential": "CADC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2021-12-16",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A051760420",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "A051760420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP-CADC-II",
"identifier": "A051760420",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "KLEINSASSER",
"middle_name": "JANE",
"prefix": "MISS",
"credential": "CADC-II",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in W Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.