SARAH DOUGLAS
NPI 1629541313
Counselor - Mental Health in Woodstock, NY
About Sarah Douglas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH DOUGLAS (NPI 1629541313) is an individual mental health provider in Woodstock, New York and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sarah Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sarah Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodstock, NY 12498
- Reassigned Medicare billing, New York enrollment
- 26 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Douglas's NPI number?
The NPI number for Sarah Douglas is 1629541313. It was assigned to this individual provider in the NPPES registry on January 6, 2019.
Where is Sarah Douglas located?
Sarah Douglas practices at 404 Zena Rd, Woodstock, NY 12498. The listed phone number is (845) 679-8650.
What is Sarah Douglas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Sarah Douglas enrolled in Medicare?
Yes. Sarah Douglas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sarah Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Douglas reassigns Medicare benefits to Maverick Family Counseling Lcsw PLLC (Woodstock, NY). 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 Sarah Douglas'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 Sarah Douglas was last updated on January 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sarah Douglas · NPI 1629541313
Mental Health provider in Woodstock, New York. Individual provider, active in the CMS NPPES registry since January 6, 2019.
## Identity
- **NPI:** 1629541313 (Entity type: Individual)
- **Enumerated:** January 6, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 404 ZENA RD, Woodstock, NY 12498-2626
- **Phone:** (845) 679-8650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Maverick Family Counseling Lcsw PLLC (NPI 1104160738, Woodstock, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1629541313) · Data from the CMS NPPES public registry.