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SARA LIEDTKE LMHC
NPI 1790132314
Counselor - Mental Health in Fairport, NY

Active since May 24, 2016
1387 FAIRPORT RD STE 504, FAIRPORT, NY 14450(585) 478-2560 Get Directions Write a Review

NPPES record last updated: July 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sara Liedtke Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA LIEDTKE LMHC (NPI 1790132314) is an individual mental health provider in Fairport, New York, licensed in New York (9880547) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1790132314
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA LIEDTKECredential: LMHC
Location Address1387 FAIRPORT RD STE 504Fairport, NY 14450-2003
Mailing Address42 Faraday St Apt 4Rochester, NY 14610-1763 · (585) 478-2560
Phone(585) 478-2560
Sole ProprietorYes
Enumeration DateMay 24, 2016
Last NPPES UpdateJuly 7, 2019
✔ NPI 1790132314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 9880547
1387 FAIRPORT RD STE 504, Fairport, NY 14450
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Liedtke's NPI number?

The NPI number for Sara Liedtke is 1790132314. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Sara Liedtke located?

Sara Liedtke practices at 1387 Fairport Rd Ste 504, Fairport, NY 14450. The listed phone number is (585) 478-2560.

What is Sara Liedtke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sara Liedtke was last updated on July 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.