Active NPI
Sarah Knight Underdue, LPC
- Professional Counselor
- Alberta, VA
National Provider Identifier
1437599412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005486
- Practice address
- 31 Samford St
Alberta, VA 23821-2326 - Phone
- (804) 835-3089
- NPI assigned
- Jul 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005486 | VA | Primary |
Addresses
Primary practice location
31 Samford St
Alberta, VA 23821-2326
Mailing address
31 Samford St
Alberta, VA 23821-2326
Phone (804) 835-3089
Other names 1
- Mrs. Sarah Ann Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260227000522 | VA | Practitioner - Mental Health Counselor | 1456832443 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
143 Industrial Pkwy
Clarksville, VA 23927-3140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005486 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Behavioral Health | Current | Accepting new patients |
Locations
823 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-7601
Organizations & group practices 1
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": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1437599412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SAMFORD ST",
"city": "ALBERTA",
"state": "VA",
"postal_code": "238212326",
"telephone_number": "804-835-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SAMFORD ST",
"city": "ALBERTA",
"state": "VA",
"postal_code": "238212326",
"telephone_number": "804-835-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERDUE",
"first_name": "SARAH",
"middle_name": "KNIGHT",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-05",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "BROWN",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alberta, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.