Individual provider Active NPI

Sandra Prodan, MED, LPC

  • Mental Health Counselor
  • North Ridgeville, OH
National Provider Identifier
1891688362
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2507008 Issued in OH
Practice address
6180 Emerald St
North Ridgeville, OH 44039-2048
Phone
(440) 522-2851
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2507008 OH Primary

Addresses

Primary practice location

6180 Emerald St
North Ridgeville, OH 44039-2048

Mailing address

6180 Emerald St
North Ridgeville, OH 44039-2048

Other practice location 1

6341 Franklyn Blvd
Brookpark, OH 44142-4002
Phone (216) 870-6147

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C.2507008OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1891688362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 EMERALD ST",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 EMERALD ST",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392048",
            "telephone_number": "440-522-2851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6341 Franklyn Blvd",
            "address_purpose": "LOCATION",
            "city": "Brookpark",
            "state": "OH",
            "postal_code": "441424002",
            "country_code": "US",
            "telephone_number": "216-870-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRODAN",
        "first_name": "SANDRA",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2507008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.