Individual provider Active NPI

Sarah Marie Black Buddin, M. ED, LCMHC, RPT

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1477138469
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16212 Issued in NC
Practice address
3824 N Elm St Ste 102
Greensboro, NC 27455-2734
Phone
(336) 265-6330
NPI assigned
Mar 11, 2021
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 16212 NC Primary

Addresses

Primary practice location

3824 N Elm St Ste 102
Greensboro, NC 27455-2734

Mailing address

3824 N Elm St Ste 102
Greensboro, NC 27455-2734
Phone (336) 265-6330

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
16212NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pines Counseling Center PLLC Mental Health CurrentSince Apr 13, 2025 Accepting new patients

Locations

3824 N Elm St
Ste 102
Greensboro, NC 27455
Phone (336) 265-6330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1477138469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 N ELM ST STE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552734",
            "telephone_number": "336-265-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 N ELM ST STE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552734",
            "telephone_number": "336-265-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDIN",
        "first_name": "SARAH",
        "middle_name": "MARIE BLACK",
        "name_prefix": "Mrs.",
        "credential": "M. ED, LCMHC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.