Individual provider Active NPI

Sarah K. Keely, LPC

  • Professional Counselor
  • Herndon, VA
National Provider Identifier
1598094898
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004688 Issued in VA
Practice address
491 Carlisle Dr Ste B
Herndon, VA 20170-4895
Phone
(571) 269-3108
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004688 VA Primary

Addresses

Primary practice location

491 Carlisle Dr Ste B
Herndon, VA 20170-4895

Mailing address

1488 Autumn Ridge Cir
Reston, VA 20194-1561
Phone (571) 269-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 26, 2025 through Jun 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701004688VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling With Sarah, PLLC CurrentSince Oct 16, 2022 Accepting new patients
Womens Center Professional PastSince Aug 8, 1997 Accepting new patients

Locations

491 Carlisle Dr
Ste B
Herndon, VA 20170
Phone (571) 269-3108

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1598094898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 AUTUMN RIDGE CIR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941561",
            "telephone_number": "571-269-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704895",
            "telephone_number": "571-269-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELY",
        "first_name": "SARAH",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.