Sara Liedtke, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9880547 Issued in NY

Practice address

1387 Fairport Rd Ste 504
Fairport, NY 14450-2003

Phone

(585) 478-2560

NPI assigned

May 24, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1790132314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 FARADAY ST APT 4",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101763",
            "telephone_number": "585-478-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 FAIRPORT RD STE 504",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502003",
            "telephone_number": "585-478-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDTKE",
        "first_name": "SARA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "9880547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Lettau, M.S.
• Katrina Johnson Levan, M.S., CAS, NCSP
• Diane P Levin, R.N.
• Esin Lewey, LMHC
• Paula J Lewyckyj
• Lift Bridge Physical Therapy, PLLC
• Linda M Lindsay
• Brendan Michael Linehan, RPH
• Chloe S Linn
• Lisa Marie Chute Optometry PLLC

• Mental Health Counselor in Fairport, NY
• Providers in Fairport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.