Sheridan Counseling Group PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHERIDAN COUNSELING GROUP PC

Practice address

2800 N Sheridan Rd
Suite 110
Chicago, IL 60657-6156

Phone

(773) 807-0841

NPI assigned

Apr 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Vastola, LCPCNPI 1912139601

Title

Owner

Phone

(773) 807-0841

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Vastola, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1912139601
  NPD (past) Authorized official
• Renee Demarchi, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1558892273
  NPD (past)
• Sarah R Springer

  • Professional Counselor
  • Chicago, IL
  • NPI 1841464518
  NPD (past)
• Brianna Smith

  • Social Worker
  • Holland, MI
  • NPI 1972232361
  NPD (past)

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1417480476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-807-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN COUNSELING GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "VASTOLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-807-0841",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renslow Sherer, M.D.
• Anant Kaur Shergill, CCC-SLP
• Ardaman Shergill
• Gregory Shergold
• Sheridan Cardiac Consultants, S.C.
• Sheridan Medical Center, S.C
• Sheridan Shores Care & Rehabilitation Center
• Sheridan Village Nursing and Rehabilitation Center LLC
• Anita Sheridan, CRNA
• Ann Elizabeth Sheridan, M.D.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.