=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184506750
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH FICHTNER LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2025
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 87 MAPLE AVE
-----------------------------------------------------
City | RED BANK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07701-1761
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-815-0699
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 48 NEWELL AVE
-----------------------------------------------------
City | WEST CREEK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08092-9608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 37AC00465600
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------