Individual provider Active NPI

Mansukh Sandhu, MS, NCC, LCPC

  • Mental Health Counselor
  • Wheaton, IL
National Provider Identifier
1477151942
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.015821 Issued in IL
Practice address
Lifestance Health
55 East Loop Rd, Ste 301
Wheaton, IL 60189
Phone
(630) 482-7890
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.015821 IL
Mental Health Counselor 101YM0800X 180.015821 IL Primary

Addresses

Primary practice location

Lifestance Health
55 East Loop Rd, Ste 301
Wheaton, IL 60189

Mailing address

1421 Sweetbay LN
West Chicago, IL 60185-5933
Phone (630) 400-7985

Other practice location 1

8765 W Higgins Rd Ste 450
Chicago, IL 60631-4172
Phone (773) 391-3786

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
I20240816002961 IL Practitioner - Mental Health Counselor 2163960402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

55 E Loop Rd
Wheaton, IL 60189-1938
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180.015821ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

3027 English Rows Ave
Ste 201
Naperville, IL 60564

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

55 E Loop Rd
Wheaton, IL 60189
Phone (630) 653-8899

55 E Loop Rd
Ste 301
Wheaton, IL 60189
Phone (630) 690-7300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1477151942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SWEETBAY LN",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855933",
            "telephone_number": "630-400-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFESTANCE HEALTH",
            "address_2": "55 EAST LOOP RD, STE 301",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60189",
            "telephone_number": "630-482-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8765 W Higgins Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606314172",
            "country_code": "US",
            "telephone_number": "773-391-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MANSUKH",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015821",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.015821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.