Sara Heatwole Bojorquez, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E1600088 Issued in OH

Practice address

22251 State Route 2
Archbold, OH 43502-9452

Phone

(419) 445-1552

NPI assigned

May 12, 2011

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Marie Gorr Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowered for Excellence Behavioral Health Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1336538206
  Medicare reassignment NPD
• Empowered for Excellence, Empowering Youth, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1700457181
  Medicare reassignment NPD
• Shalom Ministries

  dba Shalom Counseling & Mediation Center

  • Community/Behavioral Health Agency
  • Archbold, OH
  • NPI 1366573552
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1790077451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 COUNTY RD E",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435029810",
            "telephone_number": "540-383-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22251 STATE ROUTE 2",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435029452",
            "telephone_number": "419-445-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJORQUEZ",
        "first_name": "SARA",
        "middle_name": "HEATWOLE",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1600088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GORR",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Jo Bauerle
• Heidi M Bell, M.A., CCC-SLP
• Amy Bennett, MSW. LSW
• Jennifer Renee Bergstedt
• Andrea Marie Bohls, MA CF-SLP
• Mary Margaret Bowling, M.S. SLP-CF
• Randy Eugene Box, RPH
• Kelly Breen, MA CCC SLP
• Johnathan Britsch, DDS
• Michael J Britsch, DDS

• Mental Health Counselor in Archbold, OH
• Providers in Archbold, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.