Individual provider Active NPI

Sarah Lea Mears-Ivy, LPC

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1740445345
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11451 Issued in OK
Practice address
PO Box 3373
Edmond, OK 73083-3373
Phone
(405) 440-3034
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 11451 OK Primary

Addresses

Primary practice location

PO Box 3373
Edmond, OK 73083-3373

Mailing address

7413 Oak Ave
Edmond, OK 73034-9058
Phone (580) 660-5931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2025 through Jan 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11451OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edmond Counseling & Professional Development, LLC Community/Behavioral Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1740445345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 OAK AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349058",
            "telephone_number": "580-660-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3373",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730833373",
            "telephone_number": "405-440-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARS-IVY",
        "first_name": "SARAH",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.