Individual provider Active NPI

Sarah M Verducci, LPC

  • Professional Counselor
  • Ashland, OR
National Provider Identifier
1366723207
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3251 Issued in OR
Practice address
502 A St
Suite 2
Ashland, OR 97520-2281
Phone
(541) 292-0037
Fax
(541) 833-6420
NPI assigned
Sep 6, 2011
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X C3251 OR
Professional Counselor 101YP2500X C3251 OR Primary

Addresses

Primary practice location

502 A St
Suite 2
Ashland, OR 97520-2281

Mailing address

502 A St
Suite 2
Ashland, OR 97520-2281
Phone (541) 292-0037

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

LicenseStateTypeSpecialty
C3251ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1366723207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 A ST",
            "address_2": "SUITE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202281",
            "telephone_number": "541-292-0037",
            "fax_number": "541-833-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 A ST",
            "address_2": "SUITE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202281",
            "telephone_number": "541-292-0037",
            "fax_number": "541-833-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDUCCI",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3251",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.