Sarah Vanderpool, LCMHC, NCC, LPSC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16522 Issued in NC

Practice address

1365 Westgate Center Dr Ste L1
Winston Salem, NC 27103-3106

Phone

(336) 448-4451

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Banyan Tree Counseling PLLC

  • Counselor
  • Winston Salem, NC
  • NPI 1720619968

  Mental Health

  NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1659955169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE L1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-448-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE L1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-448-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, NCC, LPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Bergen Van Zandt, MD
• Laura M Vance, PHARMD
• Edward Roy Vanderbilt, MSN, APRN, FNP-C
• Patty Susan Vandergrift, RN, NNP-BC
• Courtney Marie Vandermeersch, MD
• Bradley Stuart Vandyke, M.D.
• Linda Vanfossen, M.S.C., CCC-A, F-AAA
• Khoua Alex Vang
• Dominique Vanhook
• Macie K Vanhoy, BCBA, LBA

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.

Verify at the official NPI Registry.