Individual provider Active NPI

Sarah Beth Bovan, LLPC

  • Professional Counselor
  • Livonia, MI
National Provider Identifier
1003374836
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016922 Issued in MI
Practice address
34935 Schoolcraft Rd Ste 207
Livonia, MI 48150-1317
Phone
(734) 237-7989
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016922 MI Primary

Addresses

Primary practice location

34935 Schoolcraft Rd Ste 207
Livonia, MI 48150-1317

Mailing address

2449 Blaine St
Detroit, MI 48206-2219
Phone (313) 410-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401016922MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sycamore Counseling & Coaching, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1003374836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 BLAINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062219",
            "telephone_number": "313-410-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34935 SCHOOLCRAFT RD STE 207",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501317",
            "telephone_number": "734-237-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVAN",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.