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SARA PROVO LPCC
NPI 1912582354
Counselor - Mental Health in Victoria, MN

Active since March 17, 2021
1772 STIEGER LAKE LN STE 220, VICTORIA, MN 55386(952) 443-4600(952) 443-4604 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2021, Mar 17, 2021 (2 updates tracked since 2021).

About Sara Provo Lpcc NPPES

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

SARA PROVO LPCC (NPI 1912582354) is an individual mental health provider in Victoria, Minnesota, licensed in Minnesota (2765) and active in the NPI registry since March 2021. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1912582354
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA PROVOCredential: LPCC
Location Address1772 STIEGER LAKE LN STE 220Victoria, MN 55386-7723
Mailing AddressPo Box 51Victoria, MN 55386-0051 · (952) 443-4600 · Fax (952) 443-4604
Phone(952) 443-4600
Fax(952) 443-4604
Sole ProprietorNo
Enumeration DateMarch 17, 2021
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1912582354 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 MN · 2765
1772 STIEGER LAKE LN STE 220, Victoria, MN 55386
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1313 Main Ave EDeer River, MN 56636-8733 · Phone (844) 466-3720 · Fax (218) 999-7068
Location 21435 White Oak Dr Ste 200Chaska, MN 55318-2567 · Phone (952) 443-4600
Location 315265 Carrousel Way Ste 100Rosemount, MN 55068-1760 · Phone (952) 443-4600
Location 416180 Hastings Ave SE Ste 205Prior Lake, MN 55372-9228 · Phone (952) 443-4600

Other Identifiers 1

OtherLPCC2765MN · Mn Board Of Bh

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE HERZOG LPCC
Counselor (Professional)
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (952) 443-4600
MARY KATHERINE WHEELER
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (952) 443-4600
LINDSAY JO EGGEN
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (952) 443-4600
MISS SARAH ELIZABETH CHERWIEN HOEL PSY.D., LP
Psychologist (Counseling)
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (763) 443-4600
JULIE VAN BEUSEKOM LICSW
Social Worker (Clinical)
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (952) 443-4600
CHRISTIAN FILICE BA
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (952) 443-4600
NOAH JAMES MEFFERT
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (952) 443-4600
ABIGAIL GRAY
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386
Carver County (952) 443-4600

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 Provo's NPI number?

The NPI number for Sara Provo is 1912582354. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Sara Provo located?

Sara Provo practices at 1772 Stieger Lake Ln Ste 220, Victoria, MN 55386. The listed phone number is (952) 443-4600.

What is Sara Provo'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 Provo was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.