Individual provider Active NPI

Sarah-Ann Elizabeth Yersin

  • Mental Health Counselor
  • Fair Lawn, NJ
National Provider Identifier
1548035298
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00755400 Issued in NJ
Practice address
22-08 Route 208 Ste 16
Fair Lawn, NJ 07410-2609
Phone
(201) 956-6363
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 37AC00755400 NJ Primary

Addresses

Primary practice location

22-08 Route 208 Ste 16
Fair Lawn, NJ 07410-2609

Mailing address

661 Abbington Dr Apt G18
East Windsor, NJ 08520-5894
Phone (732) 546-1747

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

State licenses

LicenseStateTypeSpecialty
37AC00755400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellsprings Counseling Center, LLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

22-08 State Rt 208
Ste 16
Fair Lawn, NJ 07410
Phone (201) 956-6363

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1548035298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 ABBINGTON DR APT G18",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205894",
            "telephone_number": "732-546-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-08 ROUTE 208 STE 16",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102609",
            "telephone_number": "201-956-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERSIN",
        "first_name": "SARAH-ANN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00755400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.