Sara Lynn Hvizdak, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C6948 Issued in OR

Practice address

Whalesong Counseling
1330 SE 9TH St Suite 2
Lincoln City, OR 97367-2618

Phone

(541) 614-0294

Fax

(971) 200-2720

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Hvizdak Pence Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Whalesong Counseling LLC

  • Professional Counselor
  • Lincoln City, OR
  • NPI 1619581931
  Medicare reassignment NPD
• Roseburg Clinic, P.C.

  • Otolaryngology Physician
  • Roseburg, OR
  • NPI 1841396405
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1609252865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WHALESONG COUNSELING",
            "address_2": "1330 SE 9TH ST SUITE 2",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672618",
            "telephone_number": "541-614-0294",
            "fax_number": "971-200-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WHALESONG COUNSELING",
            "address_2": "1330 SE 9TH ST SUITE 2",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672618",
            "telephone_number": "541-614-0294",
            "fax_number": "971-200-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Medical Loop",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "97471",
            "country_code": "US",
            "telephone_number": "541-440-3532",
            "fax_number": "541-440-3554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 W 11th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97402",
            "country_code": "US",
            "telephone_number": "541-686-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HVIZDAK",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PENCE",
            "middle_name": "HVIZDAK",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Hollingsworth, D.C.
• Amanda Howar, DPT
• Kory D Huebert, MD
• Natalie Elise Hull, OTR/L
• Amelia Welsh-Jones Huntsberger, M.D.
• Paul M. Jensen, DMD
• JHS Inc
• Ann Marie Johnson, L.AC., RN
• David M Johnson, CADC I
• Michelle Lee Jones, APRN CNP

• Professional Counselor in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.