Individual provider Active NPI

Sarah Elizabeth Van de Mark, MS, LPC

  • Professional Counselor
  • Stevens Point, WI
National Provider Identifier
1336910322
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12563-125 Issued in WI
Practice address
2417 Post Rd
Stevens Point, WI 54481-6132
Phone
(715) 544-6144
Fax
(715) 544-4599
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12563-125 WI Primary

Addresses

Primary practice location

2417 Post Rd
Stevens Point, WI 54481-6132

Mailing address

2417 Post Rd
Stevens Point, WI 54481-6132
Phone (715) 544-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20260518001714 WI Practitioner - Mental Health Counselor 5496224610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 Stonefield Dr
Lake Mills, WI 53551-1965

2224 Lora St
Stevens Point, WI 54481-4729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12563-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates Counseling Wi., S.C. PastSince Mar 17, 2024 Accepting new patients

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1336910322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816132",
            "telephone_number": "715-544-6144",
            "fax_number": "715-544-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816132",
            "telephone_number": "715-544-6144",
            "fax_number": "715-544-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE MARK",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "12563-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.