Individual provider Active NPI

Sara Katherine Wade, LMFT-A

  • Marriage & Family Therapist
  • Spartanburg, SC
National Provider Identifier
1821556648
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
6559 Issued in SC
Practice address
175 Magnolia St Ste 102
Spartanburg, SC 29306-2324
Phone
(864) 216-2278
NPI assigned
Mar 11, 2019
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 6559 SC Primary

Addresses

Primary practice location

175 Magnolia St Ste 102
Spartanburg, SC 29306-2324

Mailing address

175 Magnolia St Ste 102
Spartanburg, SC 29306-2324
Phone (864) 216-2278

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
6559SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1821556648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MAGNOLIA ST STE 102",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293062324",
            "telephone_number": "864-216-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAGNOLIA ST STE 102",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293062324",
            "telephone_number": "864-216-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SARA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "6559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.