Individual provider Active NPI

Sara E. Swiderski, LPC

  • Mental Health Counselor
  • Sheffield Village, OH
National Provider Identifier
1285933846
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4713 Issued in OH
Practice address
5255 N Abbe Rd
Sheffield Village, OH 44035-1451
Phone
(440) 934-9930
NPI assigned
Mar 22, 2011
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4713 OH Primary

Addresses

Primary practice location

5255 N Abbe Rd
Sheffield Village, OH 44035-1451

Mailing address

27041 Pondside PT
Olmsted Falls, OH 44138-3163
Phone (440) 235-2234

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
C4713OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1285933846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27041 PONDSIDE PT",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441383163",
            "telephone_number": "440-235-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 N ABBE RD",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351451",
            "telephone_number": "440-934-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDERSKI",
        "first_name": "SARA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C4713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.