Individual provider Active NPI

Sarah M Schaffer, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1407362718
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014546 Issued in IL
Practice address
820 N Orleans St Ste 350
Chicago, IL 60610-3145
Phone
(312) 809-0298
NPI assigned
Dec 21, 2017
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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 180.014546 IL Primary

Addresses

Primary practice location

820 N Orleans St Ste 350
Chicago, IL 60610-3145

Mailing address

820 N Orleans St Ste 350
Chicago, IL 60610-3145
Phone (312) 809-0298

Other identifiers 1

IdentifierTypeStateIssuer
180.014546OtherILLICENSED CLINICAL PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.014546ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Center for Emotional Health PLLC CurrentSince Feb 13, 2022 Accepting new patients
Peridot Counseling PLLC Current Accepting new patients

Locations

820 N Orleans St
Ste 350
Chicago, IL 60610
Phone (312) 809-0298

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1407362718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180.014546",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.