Individual provider Active NPI

Sara Spevack, LCPC

  • Counselor
  • Chicago, IL
National Provider Identifier
1184212250
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178016494 Issued in IL
Practice address
8538 W Catherine Ave Unit 1S
Chicago, IL 60656-2531
Phone
(847) 212-8353
NPI assigned
Jan 5, 2021
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178016494 IL Primary

Addresses

Primary practice location

8538 W Catherine Ave Unit 1S
Chicago, IL 60656-2531

Mailing address

8538 W Catherine Ave Unit 1S
Chicago, IL 60656-2531
Phone (312) 620-3073

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
I20240223002071 IL Practitioner - Mental Health Counselor 8729423223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178016494ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Psychology Services , LLC CurrentSince Feb 9, 2024 Accepting new patients
Imperfect Path PLLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

155 N Michigan Ave
Ste 601
Chicago, IL 60601
Phone (312) 847-1999

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1184212250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8538 W CATHERINE AVE UNIT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562531",
            "telephone_number": "312-620-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8538 W CATHERINE AVE UNIT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562531",
            "telephone_number": "847-212-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEVACK",
        "first_name": "SARA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178016494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.