Individual provider Active NPI

Sarah Meng Maddox

  • Mental Health Counselor
  • Crossville, TN
National Provider Identifier
1689418766
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C004770 Issued in NC
Practice address
2572 Bowman Loop
Crossville, TN 38571-1638
Phone
(919) 602-6002
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X C004770 NC Primary

Addresses

Primary practice location

2572 Bowman Loop
Crossville, TN 38571-1638

Mailing address

2572 Bowman Loop
Crossville, TN 38571-1638
Phone (919) 602-6002

Other practice location 1

2572 Bowman Loop
Crossville, TN 38571-1638
Phone (919) 602-6002

Other practice location 2

5912 Currin Fox Ct
Raleigh, NC 27616-8336
Phone (919) 602-6002

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
C004770NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1689418766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 BOWMAN LOOP",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385711638",
            "telephone_number": "919-602-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 BOWMAN LOOP",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385711638",
            "telephone_number": "919-602-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2572 Bowman Loop",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385711638",
            "country_code": "US",
            "telephone_number": "919-602-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5912 Currin Fox Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276168336",
            "country_code": "US",
            "telephone_number": "919-602-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "SARAH",
        "middle_name": "MENG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C004770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.