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SARA ROSE VAN KONINGSVELD
NPI 1104101310
Counselor - Professional in Glendale, CA

Active since October 19, 2011PECOS Enrolled
225 W BROADWAY STE 155, GLENDALE, CA 91204(818) 441-7800 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Apr 7, 2026, Jun 22, 2023 and 4 more (7 updates tracked since 2017).

About Sara Rose Van Koningsveld NPPES

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

SARA ROSE VAN KONINGSVELD (NPI 1104101310) is an individual professional provider in Glendale, California, licensed in California (LPCC8233) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104101310
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSARA ROSE VAN KONINGSVELD
Location Address225 W BROADWAY STE 155Glendale, CA 91204-1332
Mailing AddressPo Box 642900Los Angeles, CA 90064-8314
Phone(818) 441-7800
Sole ProprietorNo
Enumeration DateOctober 19, 2011
Last NPPES UpdateApril 20, 20267 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1104101310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC8233
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 13952768-6004 (UT), LPC10289 (WI)
Also ListedDance TherapistTaxonomy 225600000X · License BCDMT1207
225 W BROADWAY STE 155, Glendale, CA 91204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Rose Van Koningsveld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Sara Van Koningsveld reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Silver Lake Psychology Inc.
3.9 mi
Psychologist
4325 W SUNSET BLVD, 206
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group
NPI 1932651817 (310) 388-7983
Meridian Counseling
14 mi
Marriage & Family Therapist
11835 W OLYMPIC BLVD STE 815E
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 79 clinicians in this Medicare group
NPI 1396202206 (323) 332-9905

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 19

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

COUNSELING4KIDS
Community/Behavioral Health
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 441-7800
AREVIK KHALATYAN
Marriage & Family Therapist
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 441-7800
ANIE TAMAR GARABEDIAN AMFT
Marriage & Family Therapist
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 441-7800
ALIQUE NAZ KALACHIAN
Student in an Organized Health Care Education/Training Program
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 441-7800
ROBERT RODARTE GALVAN
Counselor (Mental Health)
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 333-8293
DAVID MICHAEL LYNCH GUERINGER AMFT
Marriage & Family Therapist
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 333-8293
EMINE TAMAR GHOLIAN
Marriage & Family Therapist
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 441-7800
JONATHAN SCOTT ABBOTT AMFT
Marriage & Family Therapist
225 W BROADWAY STE 155
GLENDALE, CA 91204
Los Angeles County (818) 333-8293

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 Van Koningsveld's NPI number?

The NPI number for Sara Van Koningsveld is 1104101310. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Sara Van Koningsveld located?

Sara Van Koningsveld practices at 225 W Broadway Ste 155, Glendale, CA 91204. The listed phone number is (818) 441-7800.

What is Sara Van Koningsveld's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sara Van Koningsveld enrolled in Medicare?

Yes. Sara Van Koningsveld is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sara Van Koningsveld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Van Koningsveld reassigns Medicare benefits to 2 organizations: Silver Lake Psychology Inc. (Los Angeles, CA) and Meridian Counseling (Los Angeles, CA). Each 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 Van Koningsveld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Van Koningsveld accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Sara Van Koningsveld as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Van Koningsveld was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.