Individual provider Active NPI

Sara Dominica Edwards, M.ED., M.ED., LPC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1124564216
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011605 Issued in PA
Practice address
227 W Broad St Ste 104
Bethlehem, PA 18018-5570
Phone
(657) 235-2656
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 0018361 CO
Professional Counselor 101YP2500X CTB-2022-0210 NM
Professional Counselor 101YP2500X 37PC00932000 NJ
Professional Counselor 101YP2500X PC011605 PA Primary

Addresses

Primary practice location

227 W Broad St Ste 104
Bethlehem, PA 18018-5570

Mailing address

227 W Broad St Ste 104
Bethlehem, PA 18018-5570
Phone (657) 235-2656

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0018361COMDProfessional Counselor
37PC00932000NJMDProfessional Counselor
CTB-2022-0210NMMDProfessional Counselor
PC011605PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Find Yourself Be That LLC CurrentSince Dec 31, 2023 Accepting new patients

Locations

227 W Broad St
Ste 104
Bethlehem, PA 18018
Phone (657) 235-2656

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1124564216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W BROAD ST STE 104",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185570",
            "telephone_number": "657-235-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W BROAD ST STE 104",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185570",
            "telephone_number": "657-235-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SARA",
        "middle_name": "DOMINICA",
        "credential": "M.ED., M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0018361",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0210",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00932000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.