Sarah Hanlin Anderson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6449 Issued in SC

Practice address

211 W Trade St
Simpsonville, SC 29681-2609

Phone

(864) 907-9159

NPI assigned

Jan 28, 2013

Sex

Female

Sole proprietor

No

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

• Triple Moon Counseling LLC

  • Adult Mental Health Clinic/Center
  • Simpsonville, SC
  • NPI 1225776198
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2022.

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1821336702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HYDE PARK LN",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623174",
            "telephone_number": "864-907-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W TRADE ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812609",
            "telephone_number": "864-907-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SARAH",
        "middle_name": "HANLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "290",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackelyn Nichols Andersen, R.N.
• Miracle Anderson Gleaton
• Broderick Anderson
• Erika Anderson, MD
• Paul David Anderson Jr.
• Sonja Michelle Anderson
• Terence Lance Andrews
• Zephany Rena Andrews, RN
• Mary Sawyer Angalet, OTR/L
• Heather J. Angel, LPC

• All providers in Simpsonville, SC
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.