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SARA VANTILBURG
NPI 1053806018
Counselor - Mental Health in Greenwich, CT

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
20 BRIDGE ST, GREENWICH, CT 06830(203) 629-2822 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sara Vantilburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA VANTILBURG (NPI 1053806018) is an individual mental health provider in Greenwich, Connecticut and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053806018
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA VANTILBURG
Location Address20 BRIDGE STGreenwich, CT 06830-5238
Mailing Address211 Salem RdPound Ridge, NY 10576-1326
Phone(203) 629-2822
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 22, 2018
✔ NPI 1053806018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20 BRIDGE ST, Greenwich, CT 06830
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara Vantilburg is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527401538
PECOS Enrollment IDI20240207000500
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sara Vantilburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Centers Inc
Same address
Mental Health (Including Community Mental Health Center)
20 BRIDGE ST
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 30 clinicians in this Medicare group
NPI 1265477780 (203) 629-2822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE BROSENS MSW
Social Worker (Clinical)
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 629-2822
SARAH JOYCE LPC-A
Counselor (Professional)
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 517-1011
LAUREL CAREY
Social Worker (Clinical)
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 629-2822
ALEXANDRA PENICK
Social Worker (Clinical)
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 629-2822
MRS. WILMA KATIA PAZMINO VILLOTA LMSW
Social Worker (Clinical)
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 614-9745
KAYE BARKER LCSW
Social Worker (Clinical)
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 629-2822
DUDLEY SANDY MAIRS MSW
Social Worker (Clinical)
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 629-2822
FAMILY CENTERS INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
20 BRIDGE ST
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 629-2822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Vantilburg's NPI number?

The NPI number for Sara Vantilburg is 1053806018. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Sara Vantilburg located?

Sara Vantilburg practices at 20 Bridge St, Greenwich, CT 06830. The listed phone number is (203) 629-2822.

What is Sara Vantilburg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sara Vantilburg enrolled in Medicare?

Yes. Sara Vantilburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sara Vantilburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Vantilburg reassigns Medicare benefits to Family Centers Inc (Greenwich, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Vantilburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Vantilburg was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.