Individual provider Active NPI

Sara Downing Edwards, M.A., ABD, L.P.C.

  • Professional Counselor
  • Sturgeon Bay, WI
National Provider Identifier
1790924694
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4173-125 Issued in WI
Practice address
949 Egg Harbor Rd
Sturgeon Bay, WI 54235-1229
Phone
(920) 559-2278
Fax
(920) 746-8340
NPI assigned
Feb 17, 2009
Last updated
Feb 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4173-125 WI Primary

Addresses

Primary practice location

949 Egg Harbor Rd
Sturgeon Bay, WI 54235-1229

Mailing address

949 Egg Harbor Rd
Sturgeon Bay, WI 54235-1229
Phone (920) 559-2278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606001794 WI Practitioner - Mental Health Counselor 0840732707 Practice locations: Mount Horeb, WI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1790924694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351229",
            "telephone_number": "920-559-2278",
            "fax_number": "920-746-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351229",
            "telephone_number": "920-559-2278",
            "fax_number": "920-746-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SARA",
        "middle_name": "DOWNING",
        "name_prefix": "Ms.",
        "credential": "M.A., ABD, L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4173-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.