MRS. SARA JUDITH ULLOM LMFT
NPI 1154664795
Marriage & Family Therapist in San Diego, CA

Q: What is Sara Ullom's NPI number?

The NPI number for Sara Ullom is 1154664795. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Sara Ullom Sara Ullom.

Q: What is Sara Ullom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Ullom was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment

10815 RANCHO BERNARDO RD STE 380, SAN DIEGO, CA 92127(858) 279-1223 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Sara Judith Ullom Lmft NPPES

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

MRS. SARA JUDITH ULLOM LMFT (NPI 1154664795) is an individual marriage & family therapist in San Diego, California, licensed in California (101848) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154664795

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. SARA JUDITH ULLOMCredential: LMFT

Location Address10815 RANCHO BERNARDO RD STE 380San Diego, CA 92127-5724

Mailing Address10815 Rancho Bernardo Rd Ste 380San Diego, CA 92127-5724

Phone(858) 279-1223

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateApril 2, 2013

Last NPPES UpdateApril 24, 2025

NPPES CertifiedApril 24, 2025

✔ NPI 1154664795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 101848

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

10815 RANCHO BERNARDO RD STE 380, San Diego, CA 92127

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Other Names 1

Former Name (1)Sara Ullom Sara Ullom

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sara Judith Ullom Lmft 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 ID7911446364

PECOS Enrollment IDI20240829000000

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.

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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.

MRS. ALEXANDRIA EVALEEN SMITH LCSW

Social Worker (Clinical)