Active NPI
Sandy Anne Lettieri, LCPC
- Professional Counselor
- Geneva, IL
National Provider Identifier
1265645519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.002664
- 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
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 | 180.002664 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.002664 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Path Counseling LTD | Professional | Current | 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.