Individual provider Active NPI

Sandy Anne Lettieri, LCPC

  • Professional Counselor
  • Geneva, IL
National Provider Identifier
1265645519
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.002664 Issued in IL
Practice address
825 W State St Ste 206
Geneva, IL 60134-2074
Phone
(630) 492-0991
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 180.002664 IL Primary

Addresses

Primary practice location

825 W State St Ste 206
Geneva, IL 60134-2074

Mailing address

825 W State St Ste 206
Geneva, IL 60134-2074
Phone (630) 492-0991

Other practice location 1

825 W State St Ste 206
Geneva, IL 60134-2074
Phone (630) 492-0991

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
180.002664ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Path Counseling LTD Professional CurrentSince Jul 24, 2022 Accepting new patients

Locations

825 W State St
Ste 206
Geneva, IL 60134
Phone (630) 492-0991

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265645519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 206",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342074",
            "telephone_number": "630-492-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 206",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342074",
            "telephone_number": "630-492-0991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 W State St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601342074",
            "country_code": "US",
            "telephone_number": "630-492-0991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETTIERI",
        "first_name": "SANDY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.002664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.