Active NPI
Sara Hiebsch
- Professional Counselor
- Burke, VA
National Provider Identifier
1467911552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77083
- Practice address
- 5244 Lyngate CT Ste 200
Burke, VA 22015-1631 - Phone
- (281) 900-2986
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 77083 | TX | Primary |
Addresses
Primary practice location
5244 Lyngate CT Ste 200
Burke, VA 22015-1631
Mailing address
5244 Lyngate CT Ste 200
Burke, VA 22015-1631
Phone (281) 900-2986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 28, 2024 through Oct 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77083 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit Reins | Professional | Past | Accepting new patients |
| Brightside Medical, P.C. | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1801355482
-
- Professional Counselor
- Liberty Hill, TX
- NPI 1982983706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1467911552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5244 LYNGATE CT STE 200",
"city": "BURKE",
"state": "VA",
"postal_code": "220151631",
"telephone_number": "281-900-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5244 LYNGATE CT STE 200",
"city": "BURKE",
"state": "VA",
"postal_code": "220151631",
"telephone_number": "281-900-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIEBSCH",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.