Sara Rose Van Koningsveld, in Glendale, CA - Medicare Counselor Provider

Sara Rose Van Koningsveld, is a medicare enrolled "Counselor - Professional" provider in Glendale, California. Her current practice location is 225 W Broadway Ste 155, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (818) 441-7800.

Sara Rose Van Koningsveld is licensed to practice in California (license number LPCC8233) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104101310.

Contact Information

	Sara Rose Van Koningsveld,
	225 W Broadway Ste 155, Glendale, CA 91204-1332
	(818) 441-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sara Rose Van Koningsveld
Gender	Female
Speciality	Counselor - Professional
Location	225 W Broadway Ste 155, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104101310
Provider Enumeration Date: 10/19/2011
Last Update Date: 04/20/2026

Medicare PECOS Information:

PECOS PAC ID: 9638619240
Enrollment ID: I20240910003468

Medical Identifiers

Medical identifiers for Sara Rose Van Koningsveld such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104101310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	13952768-6004 (Utah)	Secondary
101YP2500X	Counselor - Professional	LPCC8233 (California)	Primary
225600000X	Dance Therapist	BCDMT1207 (* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	LPC10289 (Wisconsin)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sara Rose Van Koningsveld allows following entities to bill medicare on her behalf.

Entity Name	Silver Lake Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932651817 PECOS PAC ID: 7012250582 Enrollment ID: O20190524000695

Entity Name	Meridian Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396202206 PECOS PAC ID: 6305284803 Enrollment ID: O20240403001475

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sara Rose Van Koningsveld is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sara Rose Van Koningsveld, Po Box 642900, Los Angeles, CA 90064-8314 Ph: () -	Sara Rose Van Koningsveld, 225 W Broadway Ste 155, Glendale, CA 91204-1332 Ph: (818) 441-7800

Reviews and Comments

Counselor in Glendale, CA

Mrs. Ellen Veenstra, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1540 E Colorado St, Glendale, CA 91205 Phone: 818-244-7257 Fax: 818-243-5431
Arpine Sashikyen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 N Central Ave, Glendale, CA 91203 Phone: 818-551-0026
Johnny Lee Mitchell Jr., LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1560 E Chevy Chase Dr Ste 130, Glendale, CA 91206 Phone: 818-240-0340
Jenick Nazari, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4628 San Fernando Rd, Glendale, CA 91204 Phone: 818-240-8843 Fax: 818-240-8885
Mrs. Renae Marissa Diener, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1540 E Colorado St, Glendale, CA 91205 Phone: 818-244-7257 Fax: 818-243-5431
Dr. Christine Pourandrias, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 N Central Ave, Glendale, CA 91203 Phone: 818-547-9544
Mr. Ron Anthony Alvarado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1112 N Louise St Apt A, Glendale, CA 91207 Phone: 818-206-0360

Sara Rose Van Koningsveld, - Medicare Counselor in Glendale, CA