Sarah Goedjen, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.007890 Issued in IL

Practice address

25 E Schaumburg Rd
Suite 106
Schaumburg, IL 60194-3550

Phone

(847) 981-3514

NPI assigned

Jan 24, 2012

Last updated

May 31, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1619248580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SCHAUMBURG RD",
            "address_2": "SUITE 106",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943550",
            "telephone_number": "847-981-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SCHAUMBURG RD",
            "address_2": "SUITE 106",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943550",
            "telephone_number": "847-981-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDJEN",
        "first_name": "SARAH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.007890",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178007890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.