Individual provider Active NPI

Sandra Vree, LCPC, NMHC

  • Professional Counselor
  • Tinley Park, IL
National Provider Identifier
1285977694
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.008927 Issued in IL
Practice address
6819 167TH St
Tinley Park, IL 60477-2501
Phone
(708) 505-9663
Fax
(708) 633-8008
NPI assigned
Apr 3, 2013
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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 178.008927 IL Primary

Addresses

Primary practice location

6819 167TH St
Tinley Park, IL 60477-2501

Mailing address

6819 167TH St
Tinley Park, IL 60477-2501
Phone (708) 505-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2024 through May 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.008927ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Hope Counseling, LLC Professional Current Accepting new patients
Olive Branch Counseling Associates, Inc. CurrentSince Feb 14, 2021 Accepting new patients
Olive Branch Counseling Associates, Inc. Professional PastSince Feb 14, 2021 Accepting new patients

Locations

15601 Cicero Ave
Ste 103
Oak Forest, IL 60452
Phone (708) 207-0127

6819 167th St
Tinley Park, IL 60477
Phone (708) 505-9663

Organizations & group practices 3

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1285977694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 167TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772501",
            "telephone_number": "708-505-9663",
            "fax_number": "708-633-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 167TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772501",
            "telephone_number": "708-505-9663",
            "fax_number": "708-633-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREE",
        "first_name": "SANDRA",
        "credential": "LCPC, NMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.