Sara Ballou, MS, LPC
Individual provider Active NPI Mental Health Counselor · Sylvania, OH
NPI 1972302909 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1972302909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C.2506894 (OH)
- Practice address
- 5800 Monroe St Ste A1
Sylvania, OH 43560-2208 - Phone
- (440) 829-3173
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2506894 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana L Theiss PHD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2506894 | OH | Yes |
Addresses
Primary practice location
5800 Monroe St Ste A1
Sylvania, OH 43560-2208
Mailing address
5800 Monroe St Ste A1
Sylvania, OH 43560-2208
Phone (440) 829-3173
Other providers in Sylvania, OH
- Shazeeda Bakhsh
- Jeromy Lee Balduf
- Donna Lynne Baldwin-Mickey
- Katherine Louise Ball
- Margaret E. Ball
- Claire Marie Barbao
- Emma Marie Barnhart
- Monica Marie Barnum
- Amy McCahan Barricklow
- Brad D. Barricklow
All providers in Sylvania, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.