Sara Beth Micham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1801031-TRNE Issued in OH

Practice address

1045 Klotz Rd
Bowling Green, OH 43402-4820

Phone

(419) 352-7588

Fax

(419) 354-4977

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healing Connections Wellness Center, LLC

  • Professional Counselor
  • Holland, OH
  • NPI 1508516634
  NPD Authorized official
• Center for Solutions in Brief Therapy, Inc.

  • Mental Health Counselor
  • Sylvania, OH
  • NPI 1124345152

  Counselor

  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1295218451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 COOPERS HAWK RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512094",
            "telephone_number": "763-464-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 KLOTZ RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024820",
            "telephone_number": "419-352-7588",
            "fax_number": "419-354-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAM",
        "first_name": "SARA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801031-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elaine Meszaros, P.T.
• Meussling Chiropractic, LLC
• Jeremiah T. Meussling, D.C.
• Laurie Sue Meyer, NP
• Michelle Marie Meyer, PMHNP-NP
• Mid American Sports Therapy and Rehabilitation LLC
• Mid-County Ambulance District
• Mighty Oak Christian Counseling LLC
• Bryan Keith Miksanek, MD
• Austin Miles

• All providers in Bowling Green, OH
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.