Individual provider Active NPI

Sara Bardy, LCPC

  • Professional Counselor
  • Woodstock, IL
National Provider Identifier
1053187427
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180015092 Issued in IL
Practice address
111 Dean St
Woodstock, IL 60098-3220
Phone
(847) 802-4058
Fax
(815) 344-5072
NPI assigned
Nov 28, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 180015092 IL Primary

Addresses

Primary practice location

111 Dean St
Woodstock, IL 60098-3220

Mailing address

111 Dean St
Woodstock, IL 60098-3220
Phone (847) 802-4058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000119 IL Practitioner - Mental Health Counselor 5597103572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Lodestone Center for Behavioral Health PCGroup PAC ID 6709128317, 27 clinicians

Practice addresses (Care Compare)

111 Dean St
Woodstock, IL 60098-3220
Phone (847) 802-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Lodestone Center for Behavioral Health, PC CurrentSince Jan 1, 2024 Accepting new patients
TMS Psychological Services PC CurrentSince Dec 3, 2023 Accepting new patients

Locations

15 Spinning Wheel Rd
Ste 426
Hinsdale, IL 60521
Phone (630) 323-3050

111 Dean St
Woodstock, IL 60098
Phone (815) 344-5061

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1053187427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEAN ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983220",
            "telephone_number": "847-802-4058",
            "fax_number": "815-344-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEAN ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983220",
            "telephone_number": "847-802-4058",
            "fax_number": "815-344-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDY",
        "first_name": "SARA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.