Active NPI
Sara Scott Ford, LCMHCA, CRC, CSP
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1861010035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A15456
- Practice address
- 3825 Market St Ste 6
Wilmington, NC 28403-1426 - Phone
- (910) 777-5575
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A15456 | NC | |
| Mental Health Counselor | 101YM0800X | A15456 | NC | |
| Rehabilitation Counselor | 225C00000X | 00237454 | NC | |
| Professional Counselor | 101YP2500X | A15456 | NC | Primary |
Addresses
Primary practice location
3825 Market St Ste 6
Wilmington, NC 28403-1426
Mailing address
3825 Market St Ste 6
Wilmington, NC 28403-1426
Phone (910) 777-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15456 | NC | MD | Professional Counselor |
| 00237454 | NC | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1861010035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 MARKET ST STE 6",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031426",
"telephone_number": "910-777-5575",
"fax_number": "910-777-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 MARKET ST STE 6",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031426",
"telephone_number": "910-777-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "SARA SCOTT",
"credential": "LCMHCA, CRC, CSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A15456",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15456",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NC",
"license": "00237454",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A15456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.