Philip Schertz, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000000000 Issued in IL

Practice address

1820 N Sterling Ave
West Peoria, IL 61604-6433

Phone

(309) 370-1539

NPI assigned

Jan 15, 2018

Last updated

Oct 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Neuro-Counseling PLLC

  • Mental Health Counselor
  • Peoria, IL
  • NPI 1932966041
  NPD
• Pschertz Counseling

  • Professional Counselor
  • Peoria, IL
  • NPI 1063020071

  Mental Health

  NPD

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1487162228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9176",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616129176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N STERLING AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616046433",
            "telephone_number": "309-370-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTZ",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "MA, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmax Inc. (dba Pharmax Pharmacy #9907)
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• Lisa Ringenberg, LCPC
• Kelly Ryon
• Arin Salisbury, LCPC
• Jodi Schwindenhammer
• Nathan Stahl
• Brian Sutter
• Leah Swanson, LCSW
• The New Purple Wellness Counseling PLLC

• Mental Health Counselor in West Peoria, IL
• Providers in West Peoria, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.