Individual provider Active NPI

Sarah S Gholson, M. DIV., LPC

  • Professional Counselor
  • Midlothian, VA
National Provider Identifier
1386016277
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001878 Issued in VA
Practice address
5912 Harbour Park Dr Ste B
Midlothian, VA 23112-2135
Phone
(804) 464-1928
Fax
(804) 893-3046
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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 0701001878 VA Primary

Addresses

Primary practice location

5912 Harbour Park Dr Ste B
Midlothian, VA 23112-2135

Mailing address

5912 Harbour Park Dr Ste B
Midlothian, VA 23112-2135
Phone (804) 464-1928

Other names 1

  • Sarah Sellers Former name

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
0701001878VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1386016277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 HARBOUR PARK DR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122135",
            "telephone_number": "804-464-1928",
            "fax_number": "804-893-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 HARBOUR PARK DR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122135",
            "telephone_number": "804-464-1928",
            "fax_number": "804-893-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "SARAH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M. DIV., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SELLERS",
            "credential": "M. DIV., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.