Provider Demographics
NPI:1013678416
Name:STAPLES, SARAH J (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:STAPLES
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:HENSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:689 CORTEZ RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18436-3809
Mailing Address - Country:US
Mailing Address - Phone:540-905-2139
Mailing Address - Fax:
Practice Address - Street 1:1150 S MAIN AVE STE 201
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-2957
Practice Address - Country:US
Practice Address - Phone:540-905-2139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC018860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health