Sara Mitterholzer Marx, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010451 Issued in IL

Practice address

1155 Il-22
Lake Zurich, IL 60047

Phone

(847) 540-8380

NPI assigned

Mar 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Mitterholzer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridgeway Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Park Ridge, IL
  • NPI 1659039857
  NPD (past)
• Willoughby Center for Behavioral Health, LLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1700257581
  NPD (past)

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1376074625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 WILMETTE TER",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472163",
            "telephone_number": "419-302-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 IL-22",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-540-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Wilmette Ter",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472163",
            "country_code": "US",
            "telephone_number": "419-302-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARX",
        "first_name": "SARA",
        "middle_name": "MITTERHOLZER",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MITTERHOLZER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine V S Malloy, PT
• Mallory Malone, ATC, LAT
• Marc S Kaplan DDS LTD (Village Dental Center)
• Kelly Anne Marini, PHARM D
• Mars Healthcare LLC (lake zurich open mri)
• Mary TM Dicerbo, PC (Wellness from the Inside Out Family Chiropractic)
• Linda Mass
• Laura Matula
• Lauren McArdle, PH.D., ABSNP
• Michael John McGrady Sr., D.D.S.

• Professional Counselor in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.