Active NPI
Sarah Hoffman
- Mental Health Counselor
- Janesville, WI
National Provider Identifier
1609937366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3573-125
- Practice address
- 2640 Milton Ave
Janesville, WI 53545-0231 - Phone
- (608) 755-1475
- Fax
- (608) 755-1733
- NPI assigned
- Dec 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3573-125 | WI | Primary |
| Clinical Social Worker | 1041C0700X | 3573-125 | WI | |
| Marriage & Family Therapist | 106H00000X | 3573-125 | WI |
Addresses
Primary practice location
2640 Milton Ave
Janesville, WI 53545-0231
Mailing address
2640 Milton Ave
Janesville, WI 53545-0231
Phone (608) 755-1475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40995100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250508000028 | WI | Practitioner - Mental Health Counselor | 5395262851 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3573-125 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Services LTD. | Mental Health | Current | Accepting new patients |
| Janesville Psychiatric Clinic Daytreatment for Children | Mental Health | Past | Accepting new patients |
| Janesville Psychiatric Clinic Main Inc | Mental Health | Past | Accepting new patients |
Locations
1 S Main St
Ste 250
Janesville, WI 53545
Phone (608) 757-0404
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Janesville, WI
- NPI 1730273483
Mental Health, WI
-
- Mental Health Counselor
- Janesville, WI
- NPI 1578737706
Mental Health
-
- Mental Health Counselor
- Janesville, WI
- NPI 1659447704
Mental Health
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Counseling Services LTD.
Practice addresses (Care Compare)
1 S Main St
Suite 250
Janesville, WI 53545-3939
Phone (608) 757-0404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1609937366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 MILTON AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535450231",
"telephone_number": "608-755-1475",
"fax_number": "608-755-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 MILTON AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535450231",
"telephone_number": "608-755-1475",
"fax_number": "608-755-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3573-125",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "3573-125",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "3573-125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40995100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.