Individual provider Active NPI

Sarah Deininger, LPC

  • Professional Counselor
  • Rocky River, OH
National Provider Identifier
1730818717
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1500436 Issued in OH
Practice address
20525 Detroit Rd Ste 8
Rocky River, OH 44116-2444
Phone
(440) 503-1939
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 C.1500436 OH Primary

Addresses

Primary practice location

20525 Detroit Rd Ste 8
Rocky River, OH 44116-2444

Mailing address

1373 Gladys Ave
Lakewood, OH 44107-2511
Phone (440) 503-1939

Other identifiers 1

IdentifierTypeStateIssuer
C.1500436OtherOHCOUNSELOR, SOCIAL WORK, MFT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.1500436OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1730818717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 GLADYS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072511",
            "telephone_number": "440-503-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD STE 8",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "440-503-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEININGER",
        "first_name": "SARAH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1500436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR, SOCIAL WORK, MFT BOARD",
            "identifier": "C.1500436",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.