Sarah Lynn Bogdanovich, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10742-125 Issued in WI

Practice address

20700 Watertown Rd
Waukesha, WI 53186-1800

Phone

(262) 782-1474

NPI assigned

Dec 1, 2023

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

Enrolled in WI

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

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.

• New Life Resources, Inc.

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1225061997

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1669248597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 S 97TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271434",
            "telephone_number": "262-794-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 WATERTOWN RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861800",
            "telephone_number": "262-782-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOVICH",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10742-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Boehlke
• William Boehm, M.D.
• Bryce Boente, OD
• Michelle J Boettcher, BS
• Robert Murray Boex, M.D.
• Matthew K Bogust
• Abigail Boldt
• John Thomas Bolger, M.D.
• Laura Bolhuis
• Kay Margaret Bollmus, MS, LPC-IT, NCC

• Professional Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.