SARA NEKOUEIAN
NPI 1104672898
Counselor in Roseville, CA

Active since April 24, 2024PECOS Enrolled
4153 SPROUT ST, ROSEVILLE, CA 95747(916) 202-8838 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sara Nekoueian NPPES

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

SARA NEKOUEIAN (NPI 1104672898) is an individual counselor in Roseville, California, licensed in (15612) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104672898
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSARA NEKOUEIAN
Location Address4153 SPROUT STRoseville, CA 95747-7553
Mailing Address4153 Sprout StRoseville, CA 95747-7553
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1104672898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed · 15612
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4153 SPROUT ST, Roseville, CA 95747

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5496214173
PECOS Enrollment IDI20260824001452
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 Nekoueian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
4153 SPROUT ST
ROSEVILLE, CA 95747

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 Nekoueian's NPI number?

The NPI number for Sara Nekoueian is 1104672898. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Sara Nekoueian located?

Sara Nekoueian practices at 4153 Sprout St, Roseville, CA 95747. The listed phone number is (916) 202-8838.

What is Sara Nekoueian's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Sara Nekoueian enrolled in Medicare?

Yes. Sara Nekoueian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Nekoueian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Nekoueian reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Nekoueian'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 Nekoueian was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.