Sara R Aviles, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C0900289 Issued in OH

Practice address

601 S Edwin C Moses Blvd
4TH Floor, NW BLDG
Dayton, OH 45417-3424

Phone

(937) 734-4461

Fax

(937) 276-8269

NPI assigned

Dec 26, 2011

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)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324857600000",
    "number": "1457620155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "address_2": "4TH FLOOR, NW BLDG",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173424",
            "telephone_number": "937-734-4461",
            "fax_number": "937-276-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "address_2": "4TH FLOOR, NW BLDG",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173424",
            "telephone_number": "937-734-4461",
            "fax_number": "937-276-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0900289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aventura at Gem City LLC
• Shelley Nicole Averette, LPN
• Alan Avila-John, LPC, LICDC, CRC
• Kathleen Avila-John, LPMT
• Jessica L Avila, LPN
• Ramagopala R Avutu, MD
• Soma Sundaram Avva, M.D.
• Alexa Awerkamp
• Marissa Axline
• Emmanuel Ayanjoke, PHARMD

• Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.