Sara Katherine Faehnle, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.1100582 Issued in OH

Practice address

119 Lindsay CT
Elyria, OH 44035-8857

Phone

(440) 365-7321

NPI assigned

Oct 12, 2011

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

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psych and Psych Services,LLCGroup PAC ID 8325367675, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Psych & Psych Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Elyria, OH
  • NPI 1457740052
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1942585799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26977 GLENSIDE LN",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441383173",
            "telephone_number": "440-371-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LINDSAY CT",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440358857",
            "telephone_number": "440-365-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAEHNLE",
        "first_name": "SARA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1100582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Evans
• Sebastian Evans
• Everstead Recovery Services, LLC
• Elizabeth Ewers Jankowski
• Face 2 Resources
• Charles Fairchild
• Shannon Renee Fairchild
• Isabella Grace Marie Fallon
• James Fallon
• Kimberly Fallon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.