Individual Healthcare Provider
Sara Provo, LPCC
Provider's NPPES record last updated: April 6, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1912582354
- Primary Specialty
- Counselor — Mental Health
- Practice Location
- Victoria, Minnesota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:05 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X
Provider-Reported License Information
- Counselor (Minnesota)
- 2765
Practice Locations
Practice Location
1772 Stieger Lake Ln Ste 220
Victoria, Minnesota 55386-7723
Phone: (952) 443-4600
Additional Practice Location
313 Main Ave E
Deer River, Minnesota 56636-8733
Phone: (844) 466-3720
Fax: (218) 999-7068
Additional Practice Location
1435 White Oak Dr Ste 200
Chaska, Minnesota 55318-2567
Phone: (952) 443-4600
Additional Practice Location
15265 Carrousel Way Ste 100
Rosemount, Minnesota 55068-1760
Phone: (952) 443-4600
Additional Practice Location
16180 Hastings Ave Se Ste 205
Prior Lake, Minnesota 55372-9228
Phone: (952) 443-4600
Record Information
- Enumeration Date
- March 17, 2021
- Provider's NPPES Record Last Updated
- April 6, 2021
- Certification Date
- April 6, 2021
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue