Individual provider Active NPI

Sarah Chamberlin, M.S.

  • Marriage & Family Therapist
  • Southwest Ranches, FL
National Provider Identifier
1760800049
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3092 Issued in FL
Practice address
6201 SW 180TH Ter
Southwest Ranches, FL 33331-1611
Phone
(954) 547-9928
NPI assigned
Apr 2, 2014
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3092 FL Primary
Marriage & Family Therapist 106H00000X BBH-LMFT-LIC-29927 MT

Addresses

Primary practice location

6201 SW 180TH Ter
Southwest Ranches, FL 33331-1611

Mailing address

3901 Shady Ridge Rd
Fort Lauderdale, FL 33312-6205
Phone (954) 907-6862

Other practice location 1

1159 SE 6th Ct
Dania Beach, FL 33004-5406
Phone (954) 907-6862

Other practice location 2

3901 Shady Ridge Rd
Fort Lauderdale, FL 33312-6205
Phone (954) 907-6862

Other names 1

  • Mrs. Sarah Kelava Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MT3092FLMDMarriage & Family Therapist
BBH-LMFT-LIC-29927MTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hooves Psychotherapy, Inc. Marriage & Family Therapist CurrentSince Apr 26, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1760800049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SHADY RIDGE RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126205",
            "telephone_number": "954-907-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SW 180TH TER",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311611",
            "telephone_number": "954-547-9928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 SE 6th Ct",
            "address_purpose": "LOCATION",
            "city": "Dania Beach",
            "state": "FL",
            "postal_code": "330045406",
            "country_code": "US",
            "telephone_number": "954-907-6862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Shady Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333126205",
            "country_code": "US",
            "telephone_number": "954-907-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3092",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "BBH-LMFT-LIC-29927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KELAVA",
            "prefix": "MRS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.