Individual provider Active NPI

Sheri Leasure

  • Mental Health Counselor
  • Dekalb, IL
National Provider Identifier
1447604491
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12 Health Services Dr
Dekalb, IL 60115-9637
Phone
(815) 756-4875
Fax
(815) 748-1190
NPI assigned
Apr 15, 2016
Last updated
Apr 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12 Health Services Dr
Dekalb, IL 60115-9637

Mailing address

12 Health Services Dr
Dekalb, IL 60115-9637
Phone (815) 756-4875

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
I20180327000463 IL Practitioner - Clinical Social Worker 0941562243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Care Wellness, Inc.Group PAC ID 2860791449, 14 clinicians

Practice addresses (Care Compare)

5408 N Long Ave
Chicago, IL 60630-1321
Phone (630) 423-5935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VCC Counseling, Inc. CurrentSince Nov 6, 2018 Accepting new patients
Life Care Wellness, Inc. CurrentSince May 15, 2021 Accepting new patients

Locations

800 Roosevelt Rd
Ste C206
Glen Ellyn, IL 60137
Phone (630) 423-5935

1240 Bamburg Ct
Ste 3A
Hanover Park, IL 60133
Phone (847) 372-6599

460 Briargate Dr
Ste 700
South Elgin, IL 60177
Phone (847) 488-1999

1205 DeKalb Ave
Ste 2
Sycamore, IL 60178

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1447604491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159637",
            "telephone_number": "815-756-4875",
            "fax_number": "815-748-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159637",
            "telephone_number": "815-756-4875",
            "fax_number": "815-748-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASURE",
        "first_name": "SHERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.