Individual provider Active NPI

Sheri A Mueller

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1205230158
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178010431 Issued in IL
Practice address
120 W Eastman St
Arlington Heights, IL 60004-5937
Phone
(847) 512-8637
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178010431 IL Primary

Addresses

Primary practice location

120 W Eastman St
Arlington Heights, IL 60004-5937

Mailing address

551 Clover Dr
Algonquin, IL 60102-6521
Phone (847) 458-6166

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
I20240509002056 IL Practitioner - Mental Health Counselor 5395186217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blair Counseling and Mediation PCGroup PAC ID 9032515796, 4 clinicians

Practice addresses (Care Compare)

600 Dakota St
Suite B
Crystal Lake, IL 60012-3742
Phone (815) 276-3947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178010431ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Counseling and Mediation PC Professional CurrentSince Apr 1, 2024 Accepting new patients

Locations

27 Grant St
Crystal Lake, IL 60014
Phone (815) 276-3947

600 Dakota St
Ste B
Crystal Lake, IL 60012
Phone (815) 276-3947

12555 Farm Hill Dr
Ste 500
Huntley, IL 60142
Phone (901) 205-9395

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, 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": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1205230158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 CLOVER DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026521",
            "telephone_number": "847-458-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045937",
            "telephone_number": "847-512-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "SHERI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178010431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.