Individual provider Active NPI

Sarah Godlewski, LPC, LMHC-D

  • Mental Health Counselor
  • Ithaca, NY
National Provider Identifier
1336630425
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013927 Issued in NY
Practice address
832 Hanshaw Rd
Ithaca, NY 14850-1548
Phone
(971) 319-1672
Fax
(866) 598-3922
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10002551 MA
Mental Health Counselor 101YM0800X A1909027 AR
Mental Health Counselor 101YM0800X P2101130 AR
Mental Health Counselor 101YM0800X 013927 NY Primary

Addresses

Primary practice location

832 Hanshaw Rd
Ithaca, NY 14850-1548

Mailing address

832 Hanshaw Rd Ste a
Ithaca, NY 14850-1548
Phone (971) 319-1672

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
A1909027ARMDMental Health Counselor
P2101130ARMDMental Health Counselor
10002551MAMDMental Health Counselor
013927NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1336630425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 HANSHAW RD STE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501548",
            "telephone_number": "971-319-1672",
            "fax_number": "866-598-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 HANSHAW RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501548",
            "telephone_number": "971-319-1672",
            "fax_number": "866-598-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEWSKI",
        "first_name": "SARAH",
        "credential": "LPC, LMHC-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10002551",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1909027",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2101130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.