Active NPI
Sarah Elizabeth Mol
- Counselor
- Glassboro, NJ
National Provider Identifier
1972257590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00615800
- Practice address
- 42 Delsea Dr S
Glassboro, NJ 08028-2621 - Phone
- (844) 422-3632
- NPI assigned
- Feb 11, 2022
- Last updated
- Feb 11, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00615800 | NJ | Primary |
Addresses
Primary practice location
42 Delsea Dr S
Glassboro, NJ 08028-2621
Mailing address
42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone (844) 422-3632
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CVS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone (844) 422-3632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00615800 | NJ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acenda, Inc. | Current | Accepting new patients |
Locations
42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006
Organizations & group practices 1
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
- Glassboro, NJ
- NPI 1982752333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1972257590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 DELSEA DR S",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080282621",
"telephone_number": "844-422-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 DELSEA DR S",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080282621",
"telephone_number": "844-422-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOL",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00615800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CVS",
"affiliation": "N",
"address_1": "328 W White Horse Pike",
"city": "Pomona",
"state": "NJ",
"country_code": "US",
"postal_code": "082409027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.