Individual provider Active NPI

Rita L Sanders, LPC

  • Professional Counselor
  • New Lenox, IL
National Provider Identifier
1154576452
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007398 Issued in IL
Practice address
305 N Vine St Unit 201
New Lenox, IL 60451-1652
Phone
(815) 258-9733
Fax
(815) 320-3825
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007398 IL Primary
Mental Health Counselor 101YM0800X 180.007398 IL

Addresses

Primary practice location

305 N Vine St Unit 201
New Lenox, IL 60451-1652

Mailing address

305 N Vine St Unit 201
New Lenox, IL 60451-1652
Phone (815) 258-9733

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
I20240711003679 IL Practitioner - Mental Health Counselor 9830496090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kennedy Center for Counseling, P.C.Group PAC ID 5496052656, 3 clinicians

Practice addresses (Care Compare)

305 N Vine St
Unit 201
New Lenox, IL 60451-1652
Phone (815) 320-3749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The Kennedy Center for Counseling, P.C. Mental Health CurrentSince Oct 15, 2014 Accepting new patients

Locations

305 N Vine St
Unit 201
New Lenox, IL 60451
Phone (815) 258-9733

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1154576452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N VINE ST UNIT 201",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511652",
            "telephone_number": "815-258-9733",
            "fax_number": "815-320-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N VINE ST UNIT 201",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511652",
            "telephone_number": "815-258-9733",
            "fax_number": "815-320-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RITA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007398",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.