Individual provider Active NPI

Sarah Jolynn Adler

  • Counselor
  • Madison, WI
National Provider Identifier
1659912939
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4490 Issued in WI
Practice address
301 S Blount St Ste 103
Madison, WI 53703-4664
Phone
(608) 405-5111
Fax
(608) 554-1052
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4490 WI Primary

Addresses

Primary practice location

301 S Blount St Ste 103
Madison, WI 53703-4664

Mailing address

517 N Stevenson St Apt 210
Deforest, WI 53532-1297
Phone (608) 234-1049

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergos Counseling Inc Counselor CurrentSince Oct 6, 2024 Accepting new patients

Locations

301 S Blount St
Ste 103
Madison, WI 53703
Phone (608) 405-5111

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1659912939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N STEVENSON ST APT 210",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535321297",
            "telephone_number": "608-234-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BLOUNT ST STE 103",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034664",
            "telephone_number": "608-405-5111",
            "fax_number": "608-554-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "SARAH",
        "middle_name": "JOLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "4490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.