Individual provider Active NPI

Sarah Tkac, LISW-S

  • Addiction (Substance Use Disorder) Counselor
  • Fairview Park, OH
National Provider Identifier
1083159560
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
141186 Issued in OH
Practice address
21270 Lorain Rd
Fairview Park, OH 44126-2121
Phone
(440) 672-1299
NPI assigned
Dec 20, 2016
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X I.2002454 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 141186 OH Primary

Addresses

Primary practice location

21270 Lorain Rd
Fairview Park, OH 44126-2121

Mailing address

21270 Lorain Rd
Fairview Park, OH 44126-2121
Phone (440) 672-1299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
141186OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Community Church CurrentSince Sep 11, 2023 Accepting new patients
Oriana House, Inc. Addiction (Substance Use Disorder) Past Accepting new patients
Oriana House, Inc. Past Accepting new patients

Locations

21270 Lorain Rd
Fairview Park, OH 44126
Phone (330) 554-4009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21561/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/joshuatreehealth/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1083159560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21270 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262121",
            "telephone_number": "440-672-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21270 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262121",
            "telephone_number": "440-672-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKAC",
        "first_name": "SARAH",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "I.2002454",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

Verify at the official NPI Registry.