Sarah Lynn Bardua, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC016420 Issued in PA

Practice address

1000 Market St Ste 41
Bloomsburg, PA 17815-2601

Phone

(570) 690-8881

NPI assigned

Nov 17, 2023

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

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.

• Broken Made Beautiful Counseling LLC

  • Professional Counselor
  • Bloomsburg, PA
  • NPI 1699537399
  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1902671100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 STATE ROUTE 239",
            "city": "BENTON",
            "state": "PA",
            "postal_code": "178147942",
            "telephone_number": "570-394-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARKET ST STE 41",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152601",
            "telephone_number": "570-690-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDUA",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley D. Babcock, M.D.
• Jacqueline Bailey, NCC
• John Sanford Baird Jr., PH.D.
• David Joseph Ball, DO
• Chea Bankes
• Todd Michael Bardua, MSPT
• Patrick John Barry, DPT
• Ronda F Barto, LSW
• Brooke Mikela Barton, DC
• Gavin Michael Barton, DC

• Professional Counselor in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.