SARAH VAN DER POL MS
NPI 1447753272
Marriage & Family Therapist in Burbank, CA

Q: What is Sarah Van Der Pol's NPI number?

The NPI number for Sarah Van Der Pol is 1447753272. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Q: What is Sarah Van Der Pol's specialty?

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

Q: Is Sarah Van Der Pol enrolled in Medicare?

No. Sarah Van Der Pol has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sarah Van Der Pol was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 18, 2018Opted out of Medicare · through Jan 8, 2028

1201 S VICTORY BLVD STE 206, BURBANK, CA 91502(747) 227-5652 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2021, Mar 18, 2018 (2 updates tracked since 2018).

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About Sarah Van Der Pol Ms NPPES

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

SARAH VAN DER POL MS (NPI 1447753272) is an individual marriage & family therapist in Burbank, California, licensed in California (118128) and active in the NPI registry since March 2018. She has opted out of Medicare through January 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447753272

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSARAH VAN DER POLCredential: MS

Location Address1201 S VICTORY BLVD STE 206Burbank, CA 91502-2793

Mailing Address12246 Runnymede St Unit 2North Hollywood, CA 91605-3657 · (747) 227-5652

Phone(747) 227-5652

Sole ProprietorNo

Enumeration DateMarch 18, 2018

Last NPPES UpdateOctober 17, 20212 updates tracked since enumeration

NPPES CertifiedOctober 17, 2021

✔ NPI 1447753272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 118128✔ Licensed in CA · 92263

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.

1201 S VICTORY BLVD STE 206, Burbank, CA 91502

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Sarah Van Der Pol Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024

Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 18

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

RACHEL DOUGLAS

Marriage & Family Therapist