Individual provider Active NPI

Sara Vaneerde, LCSW

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1720742612
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
091271 Issued in NY
Practice address
358 Grove St Apt 6B
Brooklyn, NY 11237-5569
Phone
(201) 835-7073
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 091271 NY Primary

Addresses

Primary practice location

358 Grove St Apt 6B
Brooklyn, NY 11237-5569

Mailing address

358 Grove St Apt 6B
Brooklyn, NY 11237-5569
Phone (201) 835-7073

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Desktop Direct

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
091271NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1720742612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 GROVE ST APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375569",
            "telephone_number": "201-835-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 GROVE ST APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375569",
            "telephone_number": "201-835-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEERDE",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "091271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "358 Grove St Apt 6B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112375569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.