Active NPI
Sarah Seely, QMHP
- Professional Counselor
- Virginia, IL
National Provider Identifier
1376818955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 331 S Main St
Virginia, IL 62691 - Phone
- (217) 452-3057
- Fax
- (217) 452-7245
- NPI assigned
- Mar 15, 2012
- Last updated
- Feb 19, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
331 S Main St
Virginia, IL 62691
Mailing address
331 S Main St
Virginia, IL 62691-1571
Phone (217) 452-3057
Other practice location 1
8590 Saint Lukes Dr
Beardstown, IL 62618-8398
Phone (217) 323-2242
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cass County Public Health Dept | Past | Accepting new patients | |
| Cass County Public Health Dept | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cass County Health Clinic
- Case Management Agency
- Beardstown, IL
- NPI 1144703372
-
dba Cass County Health Clinic Beardstown
- Federally Qualified Health Center (FQHC)
- Beardstown, IL
- NPI 1942439310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1376818955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 S MAIN ST",
"city": "VIRGINIA",
"state": "IL",
"postal_code": "626911571",
"telephone_number": "217-452-3057",
"fax_number": "217-452-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S MAIN ST",
"city": "VIRGINIA",
"state": "IL",
"postal_code": "62691",
"telephone_number": "217-452-3057",
"fax_number": "217-452-7245"
}
],
"practiceLocations": [
{
"address_1": "8590 Saint Lukes Dr",
"address_purpose": "LOCATION",
"city": "Beardstown",
"state": "IL",
"postal_code": "626188398",
"country_code": "US",
"telephone_number": "217-323-2242",
"fax_number": "217-323-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEELY",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.