Active NPI
Sarah Ewoldt
- Professional Counselor
- Fredericksburg, VA
National Provider Identifier
1952758948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701009566
- Practice address
- 10712 Ballantraye Dr Ste 304
Fredericksburg, VA 22407-4702 - Phone
- (540) 446-0007
- NPI assigned
- May 19, 2016
- Last updated
- Jul 9, 2020
- 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 | 0701009566 | VA | Primary |
Addresses
Primary practice location
10712 Ballantraye Dr Ste 304
Fredericksburg, VA 22407-4702
Mailing address
10712 Ballantraye Dr Ste 304
Fredericksburg, VA 22407-4702
Phone (540) 446-0007
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Fredericksburg |
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 |
|---|---|---|---|
| 0701009566 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Counseling Group, Inc | Mental Health | Current | Accepting new patients |
| Partners for Attention and Learning - BH, LLC | Past | Accepting new patients |
Locations
10712 Ballantraye Dr
Ste 304
Fredericksburg, VA 22407
Phone (540) 446-0007
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Fredericksburg, VA
- NPI 1932342359
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stafford, VA
- NPI 1720472145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1952758948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10712 BALLANTRAYE DR STE 304",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224074702",
"telephone_number": "540-446-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10712 BALLANTRAYE DR STE 304",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224074702",
"telephone_number": "540-446-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWOLDT",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701009566",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Fredericksburg",
"affiliation": "N",
"endpointDescription": "National Counseling Group",
"address_1": "10712 Ballantraye Dr Ste 304",
"city": "Fredericksburg",
"state": "VA",
"country_code": "US",
"postal_code": "224074702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.