Individual provider Active NPI

Mansi Sant, LCPC, CEDS

  • Mental Health Counselor
  • Plainfield, IL
National Provider Identifier
1164826483
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008613 Issued in IL
Practice address
24014 W Renwick Rd Unit 105
Plainfield, IL 60544-8729
Phone
(773) 547-0800
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 180.008613 IL Primary

Addresses

Primary practice location

24014 W Renwick Rd Unit 105
Plainfield, IL 60544-8729

Mailing address

1569 Glenside Dr
Bolingbrook, IL 60490-5499
Phone (773) 547-0800

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
180.008613ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1164826483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 GLENSIDE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905499",
            "telephone_number": "773-547-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 105",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448729",
            "telephone_number": "773-547-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANT",
        "first_name": "MANSI",
        "credential": "LCPC, CEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.