Active NPI
Sara Ridley Counseling Practice, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shaker Heights, OH
National Provider Identifier
1477082857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- I1000364
- Legal business name
- SARA RIDLEY COUNSELING PRACTICE, LLC
- Practice address
- 21350 Almar Dr
Shaker Heights, OH 44122-3823 - Phone
- (440) 941-3285
- Fax
- (440) 815-2189
- NPI assigned
- Jun 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Joyce Ridley, LISW
- Title
- Ower/Clinical Social Worker
- Phone
- (440) 241-6054
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | I1000364 | OH | Primary |
Addresses
Primary practice location
21350 Almar Dr
Shaker Heights, OH 44122-3823
Mailing address
21350 Almar Dr
Shaker Heights, OH 44122-3823
Phone (440) 941-3285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099016 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Shaker Heights, OH
- NPI 1942508403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1477082857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21350 ALMAR DR",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441223823",
"telephone_number": "440-941-3285",
"fax_number": "440-815-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21350 ALMAR DR",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441223823",
"telephone_number": "440-941-3285",
"fax_number": "440-815-2189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA RIDLEY COUNSELING PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "RIDLEY",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "OWER/CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "440-241-6054",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "OH",
"license": "I1000364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099016",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.