Individual provider Active NPI

Sandra Coyner, LPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1356175350
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
200 E 5TH Ave Ste 109
Naperville, IL 60563-3173
Phone
(331) 457-2020
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 IL Primary

Addresses

Primary practice location

200 E 5TH Ave Ste 109
Naperville, IL 60563-3173

Mailing address

200 E 5TH Ave Ste 109
Naperville, IL 60563-3173
Phone (331) 457-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430001971 IL Practitioner - Mental Health Counselor 6002332269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alw Group GrowGroup PAC ID 3971910530, 17 clinicians

Practice addresses (Care Compare)

200 E 5TH Ave
Suite 109
Naperville, IL 60563-3173
Phone (331) 457-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alw Group Grow CurrentSince Apr 1, 2025 Accepting new patients

Locations

200 E 5th Ave
Ste 109
Naperville, IL 60563
Phone (331) 248-6194

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, 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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1356175350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633173",
            "telephone_number": "331-457-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633173",
            "telephone_number": "331-457-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNER",
        "first_name": "SANDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.