Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1922340025 Deactivated / Inactive NPI Female Practitioner

Sara E Foederer

Counselor • Daytona Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sara Foederer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 27, 2013
NPI Deactivation Date June 19, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Sara Foederer was a registered Counselor practicing in Daytona Beach, FL. Throughout an active medical career spanning 11 years, Sara Foederer provided care at the practice location at 841 JIMMY ANN DR until profile deactivation on 2024-06-19.

Practice Location & Contact Primary Location

Practice Address

841 Jimmy Ann Dr

Daytona Beach, FL 321174583

Telephone 3864253900
Fax 3862744140
Associated Practice Facility / Clinic
🏢 Halifax Behavioral Services Facility NPI 1649662198

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
38 Specialists

Practicing in Daytona Beach, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License None MH11338

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anne Conway

Counselor

NPI 1023350121
Jewel Johnson

Case Manager/Care Coordinator

NPI 1063101533
NPI 1063752715

Licensed Mental Health Counselor

Margaret Vargas

Case Manager/Care Coordinator

NPI 1073188405
Tyshia Gaynor

Social Worker - Clinical

NPI 1073240354
NPI 1093055394

Licensed Independent Clinical Social Worker, Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 27, 2013

Registered at 841 JIMMY ANN DR, DAYTONA BEACH, FL 321174583 (Tel: 3864253900)

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Updated Business Mailing Address March 27, 2013

Registered at 841 JIMMY ANN DR, DAYTONA BEACH, FL 321174583 (Tel: 3864253900)

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Provider Name / Credentials Updated March 27, 2013

Recorded as SARA FOEDERER

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Counselor (License #MH11338 in None)

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Initial NPI Registration & Enumeration March 27, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922340025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2013
Last Update: March 27, 2013
Deactivation Date: June 19, 2024

Mailing Address

841 Jimmy Ann Dr

Daytona Beach, FL 321174583

Phone: 3864253900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.