Individual provider Active NPI

Sarah Jacyna, MA, LPC

  • Professional Counselor
  • Bowling Green, MO
National Provider Identifier
1700549094
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021040966 Issued in MO
Practice address
1 Healthcare PL
Bowling Green, MO 63334-3602
Phone
(573) 603-1460
NPI assigned
Oct 14, 2021
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021040966 MO Primary

Addresses

Primary practice location

1 Healthcare PL
Bowling Green, MO 63334-3602

Mailing address

1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210

Other practice location 1

700 W Adams St
Bowling Green, MO 63334-2046
Phone (573) 603-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240103004238 MO Practitioner - Mental Health Counselor 2668823675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2021040966MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1 Healthcare Pl
Bowling Green, MO 63334
Phone (573) 324-2111

700 W Adams St
Bowling Green, MO 63334
Phone (573) 324-2181

141 Communication Dr
Hannibal, MO 63401
Phone (573) 795-7342

3531 Stardust Dr
Hannibal, MO 63401
Phone (573) 248-3900

900 E Laharpe St
Kirksville, MO 63501

1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202

201 E Main St
Ste C
Cushing, OK 74023
Phone (918) 225-0540

6440 S Lewis Ave
Ste 2200
Tulsa, OK 74136
Phone (888) 882-0859

Interoperability endpoints

  • Direct secure messaging: sarah.jacyna.p1@direct.pfh.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1700549094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120",
            "telephone_number": "636-224-1210",
            "fax_number": "636-246-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHCARE PL",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633343602",
            "telephone_number": "573-603-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633342046",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACYNA",
        "first_name": "SARAH",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021040966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, MO

Sources for this page

Verify at the official NPI Registry.