Active NPI
Sauk Valley Mind Matters PC
- Psychiatric/Mental Health Nurse Practitioner
- Sterling, IL
National Provider Identifier
1114850989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SAUK VALLEY MIND MATTERS PC
- Practice address
- 105 W 3Rd St
Sterling, IL 61081-3504 - Phone
- (309) 281-9584
- Fax
- (815) 310-1048
- NPI assigned
- Jun 3, 2026
- Last updated
- Jun 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Marie Lathe, NP
- Title
- Pmhnp-BC
- Phone
- (130) 928-1958
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
105 W 3Rd St
Sterling, IL 61081-3504
Mailing address
105 W 3Rd St
Sterling, IL 61081-3504
Phone (309) 281-9584
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sterling, IL
- NPI 1649845280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1114850989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 3RD ST",
"city": "STERLING",
"state": "IL",
"postal_code": "610813504",
"telephone_number": "309-281-9584",
"fax_number": "815-310-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 3RD ST",
"city": "STERLING",
"state": "IL",
"postal_code": "610813504",
"telephone_number": "309-281-9584",
"fax_number": "815-310-1048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAUK VALLEY MIND MATTERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "LATHE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PMHNP-BC",
"authorized_official_telephone_number": "130-928-1958",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.