SARA JEANNE FAWKES M.A., LPPC
NPI 1487145108
Counselor - Professional in Concord, CA

Active since May 29, 2018Opted out of Medicare · through Mar 26, 2028
963 SAN SIMEON DR, CONCORD, CA 94518(925) 286-1304 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sara Jeanne Fawkes M.a., Lppc NPPES

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

SARA JEANNE FAWKES M.A., LPPC (NPI 1487145108) is an individual professional provider in Concord, California, licensed in California (LPCC4603) and active in the NPI registry since May 2018. She has opted out of Medicare through March 26, 2028.

NPPES Registry Identity

NPI1487145108
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSARA JEANNE FAWKESCredential: M.A., LPPC
Location Address963 SAN SIMEON DRConcord, CA 94518-2158
Mailing Address963 San Simeon DrConcord, CA 94518-2158 · (925) 286-1304
Sole ProprietorYes
Enumeration DateMay 29, 2018
NPI 1487145108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · LPCC4603
963 SAN SIMEON DR, Concord, CA 94518

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sara Jeanne Fawkes M.a., Lppc 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 March 26, 2024 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2024
Opt-Out In Effect ThroughMarch 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Fawkes's NPI number?

The NPI number for Sara Fawkes is 1487145108. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Sara Fawkes located?

Sara Fawkes practices at 963 San Simeon Dr, Concord, CA 94518. The listed phone number is (925) 286-1304.

What is Sara Fawkes's specialty?

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

Is Sara Fawkes enrolled in Medicare?

No. Sara Fawkes has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sara Fawkes was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.