Organization Active NPI

Peony Path Psychotherapy PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1467312603
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PEONY PATH PSYCHOTHERAPY PLLC
Practice address
40 E Huron St Ste 320
Chicago, IL 60611-5244
Phone
(773) 340-1361
Fax
(312) 999-0733
NPI assigned
Nov 12, 2025
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Sarah Vassileff, MA, LCPCNPI 1629701495
Title
Owner and Complex Trauma Therapist
Phone
(224) 475-3490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

40 E Huron St Ste 320
Chicago, IL 60611-5244

Mailing address

790 Estate Dr Ste 200
Deerfield, IL 60015-4879
Phone (773) 340-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102002484 IL Part B Supplier - Clinic/Group Practice 5890281463 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

40 E Huron St
Ste 320
Chicago, IL 60611
Phone (224) 475-3490

790 Estate Dr
Ste 200
Deerfield, IL 60015
Phone (224) 300-6220

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1467312603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ESTATE DR STE 200",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154879",
            "telephone_number": "773-340-1361",
            "fax_number": "312-999-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E HURON ST STE 320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115244",
            "telephone_number": "773-340-1361",
            "fax_number": "312-999-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEONY PATH PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "VASSILEFF",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER AND COMPLEX TRAUMA THERAPIST",
        "authorized_official_telephone_number": "224-475-3490",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.