Individual provider Active NPI

Sheryl Marie Duer, M.A., L.C.P.C.

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1023109527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
199 Town SQ
Suite G
Wheaton, IL 60187-3878
Phone
(630) 653-1000
Fax
(630) 653-1010
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

199 Town SQ
Suite G
Wheaton, IL 60187-3878

Mailing address

1302 Sunset Rd
Geneva, IL 60134-3260
Phone (630) 208-0617

Other identifiers 1

IdentifierTypeStateIssuer
02232525OtherILBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-003765ILMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023109527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SUNSET RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343260",
            "telephone_number": "630-208-0617",
            "fax_number": "630-208-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 TOWN SQ",
            "address_2": "SUITE G",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873878",
            "telephone_number": "630-653-1000",
            "fax_number": "630-653-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUER",
        "first_name": "SHERYL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "02232525",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.