Active NPI
Sheila Senn, LCPC
- Professional Counselor
- Cary, IL
National Provider Identifier
1265440671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-005067
- Practice address
- 114 Cary St
Cary, IL 60013-2706 - Phone
- (815) 687-6955
- NPI assigned
- Aug 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-005067 | IL | Primary |
Addresses
Primary practice location
114 Cary St
Cary, IL 60013-2706
Mailing address
468 Rockland Rd
Crystal Lake, IL 60014-4120
Phone (815) 687-6955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180-005067 | Other | IL | STATE LICENSE |
| 0005632124 | Other | IL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005067 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Spring Counseling and Executive Coaching LLC | Professional | Current | Accepting new patients |
Locations
114 Cary St
Cary, IL 60013
Phone (815) 669-9590
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.
-
- Professional Counselor
- Cary, IL
- NPI 1598334377
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593820800000",
"number": "1265440671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 ROCKLAND RD",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600144120",
"telephone_number": "815-687-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CARY ST",
"city": "CARY",
"state": "IL",
"postal_code": "600132706",
"telephone_number": "815-687-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENN",
"first_name": "SHEILA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2020-07-04",
"certification_date": "2020-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-005067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "180-005067",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0005632124",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.