Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sara Rose Van Koningsveld

Individual provider Mental Health Counselor · NPI 1104101310

Sara Rose Van Koningsveld is a Mental Health Counselor in Glendale, California. Licensed in California, Utah and Wisconsin. Registered with an NPI since 2011.

Licensed in
CA, UT, WI
In the registry since
2011
Specialties on file
4

Practice location Address checks out

225 W Broadway Ste 155
Glendale, CA 91204-1332
Phone: (818) 441-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC8233 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 13952768-6004 (UT)
Dance Therapist Taxonomy 225600000X · Licence BCDMT1207
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC10289 (WI)

Record details

NPI number1104101310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing addressPo Box 642900, Los Angeles, CA 90064-8314

Other providers in Glendale