Active NPI
Sara Louise Quincer, MA, LCPC
- Professional Counselor
- Sycamore, IL
National Provider Identifier
1184890949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006357
- Practice address
- 954 W State St
Sycamore, IL 60178-1335 - Phone
- (815) 895-9144
- Fax
- (815) 895-5740
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180006357 | IL | |
| Professional Counselor | 101YP2500X | 180006357 | IL | Primary |
Addresses
Primary practice location
954 W State St
Sycamore, IL 60178-1335
Mailing address
954 W State St
Sycamore, IL 60178-1335
Phone (815) 895-9144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | squincer129491@direct.edward.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
954 W State St
Sycamore, IL 60178-1335
Phone (815) 895-9144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180006357 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
954 W State St
Sycamore, IL 60178
Phone (815) 895-9144
Interoperability endpoints
- squincer129491@direct.edward.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1184890949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 W STATE ST",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601781335",
"telephone_number": "815-895-9144",
"fax_number": "815-895-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 W STATE ST",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601781335",
"telephone_number": "815-895-9144",
"fax_number": "815-895-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINCER",
"first_name": "SARA",
"middle_name": "LOUISE",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180006357",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180006357",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "squincer129491@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "954 W State St",
"city": "Sycamore",
"state": "IL",
"country_code": "US",
"postal_code": "601781335",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Patrice A Pritchard, RN
- Proactive Chiropractic & Laser Center, LLC
- Professional Services for Anxiety-Related Disorders, LLC
- Professional Services in Health Psychology, LTD
- Radiant Dermatology, LTD
- Radiologists LTD
- Gina Louise Raimondi, L.C.S.W.
- Winston D Rajendram, M.D.
- Raneem Rajjoub
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.