Individual provider Active NPI

Martha Santamour Biemer

  • Mental Health Counselor
  • McHenry, IL
National Provider Identifier
1134737869
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178915248 Issued in IL
Practice address
4209 W Shamrock LN Unit C
McHenry, IL 60050-8700
Phone
(815) 344-9443
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178915248 IL Primary

Addresses

Primary practice location

4209 W Shamrock LN Unit C
McHenry, IL 60050-8700

Mailing address

4209 W Shamrock LN Unit C
McHenry, IL 60050-8700
Phone (815) 344-9443

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

State licenses

LicenseStateTypeSpecialty
178915248ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1134737869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 W SHAMROCK LN UNIT C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508700",
            "telephone_number": "815-344-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 W SHAMROCK LN UNIT C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508700",
            "telephone_number": "815-344-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEMER",
        "first_name": "MARTHA",
        "middle_name": "SANTAMOUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178915248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.