Sarah L Wallace, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0000732 Issued in VT

Practice address

107 Fisher Pond Rd
Saint Albans, VT 05478-6286

Phone

(802) 524-6555

Fax

(802) 524-6562

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ray Family Medical Center, PLLC

  • Physician Assistant
  • Ray, ND
  • NPI 1386233138
  NPD

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1700069028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OAKWOOD DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-524-6555",
            "fax_number": "802-524-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Wainer
• Holly S Wakefield, LCMHC LPC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2332)
• Walgreen Co (Walgreens #19795)
• Mackenzie B Walker
• Brenda Lee Wardner, OTR/L
• Karina Ware-Poupart, MA, LCMHC
• James Charles Warpinski, LICSW
• Adrian L Webb, MD
• Samantha Weber

• Mental Health Counselor in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.