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SARAH SELF
NPI 1417741000
Counselor - Professional in Colorado Springs, CO

Active since April 08, 2025PECOS Enrolled
1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906(719) 598-3585 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sarah Self NPPES

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

SARAH SELF (NPI 1417741000) is an individual professional provider in Colorado Springs, Colorado and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417741000
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSARAH SELF
Location Address1259 LAKE PLAZA DR STE 255Colorado Springs, CO 80906-3542
Mailing Address1259 Lake Plaza Dr Ste 255Colorado Springs, CO 80906-3542
Phone(719) 598-3585
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1417741000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1259 LAKE PLAZA DR STE 255, Colorado Springs, CO 80906
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Sarah Self 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 Sarah Self reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pickett Psychological Services, LLC
Same address
Clinical
1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 11 clinicians in this Medicare group
NPI 1598434300 (719) 598-3585
Gateway To Success, PC
2.7 mi
Mental Health (Including Community Mental Health Center)
155 PRINTERS PKWY STE 200
Colorado Springs, CO 80910
  • Reassigned Medicare billing, Colorado enrollment
  • 15 clinicians in this Medicare group
NPI 1275172967 (719) 374-1650

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 11

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

CLINTON PICKETT
Psychologist (Clinical)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (832) 509-7564
ABRAHAM SPIES
Psychologist
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
CHRISTOPHER COSTANZA PSYD
Clinical Neuropsychologist
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
KEVIN LOWREY NP
Nurse Practitioner (Psychiatric/Mental Health)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
REBECCA WAGNER PH.D.
Psychologist (Clinical)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
AMY E DENDINGER ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
ANGELINA MARIA JOHNSON PSY.D., LP
Psychologist (Clinical)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
TRISHA JEFFERS PHD
Psychologist
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585

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 Sarah Self's NPI number?

The NPI number for Sarah Self is 1417741000. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Sarah Self located?

Sarah Self practices at 1259 Lake Plaza Dr Ste 255, Colorado Springs, CO 80906. The listed phone number is (719) 598-3585.

What is Sarah Self's specialty?

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

Is Sarah Self enrolled in Medicare?

Yes. Sarah Self is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Self's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Self reassigns Medicare benefits to 2 organizations: Pickett Psychological Services, LLC (Colorado Springs, CO) and Gateway To Success, PC (Colorado Springs, CO). 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 Sarah Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Self accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sarah Self 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 Sarah Self was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.