Organization Active NPI

Sara Ridley Counseling Practice, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shaker Heights, OH
National Provider Identifier
1477082857
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
I1000364 Issued in OH
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

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Sara Joyce Ridley, LISWNPI 1942508403
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0099016MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.