Sarah Jordan, LCSW, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC9381 Issued in ME

Practice address

370 Portsmouth Ave
Suite 9
Greenland, NH 03840-2252

Phone

(603) 502-1309

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sarah Jordan Hollar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Maine Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1891733309
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1487746517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 PORTSMOUTH AVE",
            "address_2": "SUITE 9",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402252",
            "telephone_number": "603-502-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 PORTSMOUTH AVE",
            "address_2": "SUITE 9",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402252",
            "telephone_number": "603-502-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SARAH",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC9381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418270099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HOLLAR",
            "middle_name": "JORDAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberlee Rene Heenan, LICSW
• Kimberly Tanya Higney, D.C.
• Jennifer Holly, MS CCC-SLP
• Heather Huskinson, BS
• Rebecca Ingalls, CNM, WHNP-BC
• Ka Lani LLC
• Kids Therapy Company
• Joseph P Kilcullen, MS, LADC
• Andrew Kilpatrick, LMT
• Brittany Lauren Krake, ND

• Mental Health Counselor in Greenland, NH
• Providers in Greenland, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.