Sarah Boettner, LPCC-S, LSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1200022-S Issued in OH

Practice address

1110 Pendleton St Ste 2
Cincinnati, OH 45202-8819

Phone

(513) 908-2722

NPI assigned

Mar 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Good Life Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1275290926
  NPD Authorized official

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1881087971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENDLETON ST STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028819",
            "telephone_number": "513-908-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENDLETON ST STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028819",
            "telephone_number": "513-908-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTNER",
        "first_name": "SARAH",
        "credential": "LPCC-S, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "268540",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0025551",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1200022-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Lynn Boehringer, RN
• Kenneth A Boekley, RPH
• Marilyn F. Boerio, C.N.P.
• Susannah Boerner, COTA/L
• Deborah Ann Boerschig, CNP
• Jessica Michelle Boggan, QMHS
• Milo Boggan
• Elizabeth A Boggs, O.D.
• Jamie Lee Boggs, CNP-AGAC-BC
• Sheila Boggs

• Professional Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.