Active NPI
Sarah Welborn, LPC
- Professional Counselor
- Conway, AR
National Provider Identifier
1871852509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2110006
- Practice address
- 4055 Seraph Dr Ste 5
Conway, AR 72034-3536 - Phone
- (501) 428-4010
- Fax
- (501) 214-6866
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2110006 | AR | Primary |
Addresses
Primary practice location
4055 Seraph Dr Ste 5
Conway, AR 72034-3536
Mailing address
4940 Shepherds Creek Dr Apt 1
Conway, AR 72034-9255
Phone (501) 428-4010
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
| License | State | Type | Specialty |
|---|---|---|---|
| P2110006 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Arising Counseling, PLLC | Current | Accepting new patients | |
| Youth Home Inc | Past | Accepting new patients |
Locations
4055 Seraph Dr
Ste 5
Conway, AR 72034
Phone (501) 314-6088
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/youthhome/r4/
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Conway, AR
- NPI 1427680305
-
- Psychiatric Residential Treatment Facility
- Little Rock, AR
- NPI 1942266879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1871852509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 SHEPHERDS CREEK DR APT 1",
"city": "CONWAY",
"state": "AR",
"postal_code": "720349255",
"telephone_number": "501-428-4010",
"fax_number": "501-214-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 SERAPH DR STE 5",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343536",
"telephone_number": "501-428-4010",
"fax_number": "501-214-6866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELBORN",
"first_name": "SARAH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2110006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.