Active NPI
Sara A Wegrzyn, LPCC
- Mental Health Counselor
- Sylvania, OH
National Provider Identifier
1316222508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0900495
- Practice address
- 5600 Monroe St
BLDG a - Suite 201
Sylvania, OH 43560-2775 - Phone
- (419) 885-1910
- Fax
- (419) 885-5060
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C0900495 | OH | |
| Mental Health Counselor | 101YM0800X | E.0900495 | OH | Primary |
Addresses
Primary practice location
5600 Monroe St
BLDG a - Suite 201
Sylvania, OH 43560-2775
Mailing address
5600 Monroe St
BLDG a - Suite 201
Sylvania, OH 43560-2775
Phone (419) 885-1910
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
| License | State | Type | Specialty |
|---|---|---|---|
| C0900495 | OH | MD | Mental Health Counselor |
| E.0900495 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1316222508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 MONROE ST",
"address_2": "BLDG A - SUITE 201",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602775",
"telephone_number": "419-885-1910",
"fax_number": "419-885-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 MONROE ST",
"address_2": "BLDG A - SUITE 201",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602775",
"telephone_number": "419-885-1910",
"fax_number": "419-885-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGRZYN",
"first_name": "SARA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C0900495",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0900495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.