Active NPI
Sherri L Larson, LCPC
- Professional Counselor
- Flossmoor, IL
National Provider Identifier
1295062883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180004355
- Practice address
- 19740 Governors Hwy
Suite 117
Flossmoor, IL 60422-2084 - Phone
- (866) 296-5262
- Fax
- (708) 957-9588
- NPI assigned
- Nov 3, 2009
- 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 | 180004355 | IL | Primary |
Addresses
Primary practice location
19740 Governors Hwy
Suite 117
Flossmoor, IL 60422-2084
Mailing address
20 N Clark St
Suite 2650
Chicago, IL 60602-4109
Phone (866) 296-5260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180004355 | Other | IL | STATE OF ILLINOIS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180004355 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Perspectives LTD | Professional | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
Organizations & group practices 2
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": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1295062883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N CLARK ST",
"address_2": "SUITE 2650",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606024109",
"telephone_number": "866-296-5260",
"fax_number": "312-558-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19740 GOVERNORS HWY",
"address_2": "SUITE 117",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222084",
"telephone_number": "866-296-5262",
"fax_number": "708-957-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "SHERRI",
"middle_name": "L",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180004355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS",
"identifier": "180004355",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.