Individual provider Active NPI

Sara Anne Sherrick

  • Mental Health Counselor
  • Charles Town, WV
National Provider Identifier
1407979966
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
224 E Liberty St
Charles Town, WV 25414-1824
Phone
(304) 725-7176
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

224 E Liberty St
Charles Town, WV 25414-1824

Mailing address

224 E Liberty St
Charles Town, WV 25414-1824
Phone (304) 725-7176

Other practice location 1

102 Heritage Way NE
Ste. 302
Leesburg, VA 20176-4544
Phone (703) 216-9792

Other practice location 2

312 E Market St Ste F
Leesburg, VA 20176-4173
Phone (304) 725-7176

Other identifiers 1

IdentifierTypeStateIssuer
00007473MedicaidCA

Other names 1

  • Sara Welte 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

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Counseling LLC CurrentSince Dec 15, 2024 Accepting new patients
Virginia Oak Counseling, LLC PastSince Feb 1, 2019 Accepting new patients

Locations

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

312 E Market St
Leesburg, VA 20176
Phone (302) 897-2528

224 E Liberty St
Charles Town, WV 25414
Phone (304) 725-7176

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1407979966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "304-725-7176",
            "fax_number": "304-724-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "304-725-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Heritage Way NE",
            "address_2": "Ste. 302",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764544",
            "country_code": "US",
            "telephone_number": "703-216-9792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 E Market St Ste F",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764173",
            "country_code": "US",
            "telephone_number": "304-725-7176",
            "fax_number": "304-724-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRICK",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00007473",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WELTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.