Individual provider Active NPI

Sarah Queen, LPCC

  • Professional Counselor
  • Fairlawn, OH
National Provider Identifier
1013369867
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E. 1100351 Issued in OH
Practice address
2680 W Market St
Fairlawn, OH 44333-4215
Phone
(234) 867-5001
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 E. 1100351 OH Primary

Addresses

Primary practice location

2680 W Market St
Fairlawn, OH 44333-4215

Mailing address

2680 W Market St
Fairlawn, OH 44333-4215
Phone (234) 867-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250926000639 OH Practitioner - Mental Health Counselor 0446755789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21410 N 19TH Ave
Suite 151
Phoenix, AZ 85027-2761

2680 W Market St
Fairlawn, OH 44333-4215

6679 Crenshaw Dr
Parma Heights, OH 44130-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E. 1100351OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DGS Ministries, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

2680 W Market St
Fairlawn, OH 44333
Phone (234) 867-5001

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1013369867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334215",
            "telephone_number": "234-867-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334215",
            "telephone_number": "234-867-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "SARAH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 1100351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.