Individual provider Active NPI

Sarah Ewoldt

  • Professional Counselor
  • Fredericksburg, VA
National Provider Identifier
1952758948
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009566 Issued in VA
Practice address
10712 Ballantraye Dr Ste 304
Fredericksburg, VA 22407-4702
Phone
(540) 446-0007
NPI assigned
May 19, 2016
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
0701009566VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Counseling Group, Inc Mental Health CurrentSince Aug 14, 2022 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.

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.

Verify at the official NPI Registry.