Organization Active NPI

Sarah Proemsey Licensed Professional Clinical Counselor, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burlingame, CA
National Provider Identifier
1386486579
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SARAH PROEMSEY LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC.
Practice address
405 Primrose Rd Ste 208
Burlingame, CA 94010-4091
Phone
(650) 206-9505
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Sarah Proemsey, LPCCNPI 1649632837
Title
Founder & Ceo
Phone
(650) 703-2765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

405 Primrose Rd Ste 208
Burlingame, CA 94010-4091

Mailing address

405 Primrose Rd Ste 208
Burlingame, CA 94010-4091

Other names 1

  • Love Your Story Doing business as

National Provider Directory

National Provider Directory

Locations

405 Primrose Rd
Ste 208
Burlingame, CA 94010
Phone (650) 206-9505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1386486579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PRIMROSE RD STE 208",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PRIMROSE RD STE 208",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104091",
            "telephone_number": "650-206-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH PROEMSEY LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "PROEMSEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "650-703-2765",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Your Story",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.