Active NPI
Sarah Reynertson Counseling Services, LLC
- Professional Counselor
- Urbana, IL
National Provider Identifier
1457993032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SARAH REYNERTSON COUNSELING SERVICES, LLC
- Practice address
- 1210 E Main St
Urbana, IL 61802-2830 - Phone
- (217) 615-2782
- Fax
- (217) 484-8932
- NPI assigned
- Oct 15, 2019
- Last updated
- Oct 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Reynertson, LCPC
- Title
- Owner
- Phone
- (217) 615-2782
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1210 E Main St
Urbana, IL 61802-2830
Mailing address
1210 E Main St
Urbana, IL 61802-2830
Phone (217) 615-2782
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Clarendon Hills, IL
- NPI 1083994040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571097600000",
"number": "1457993032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 E MAIN ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618022830",
"telephone_number": "217-615-2782",
"fax_number": "217-484-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 E MAIN ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618022830",
"telephone_number": "217-615-2782",
"fax_number": "217-484-8932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARAH REYNERTSON COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A",
"authorized_official_last_name": "REYNERTSON",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-615-2782",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.