Individual provider Active NPI

Sallie A Schramm

  • Mental Health Counselor
  • Marion, IL
National Provider Identifier
1487770707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4503 W Deyoung St
Suite 103C
Marion, IL 62959-5801
Phone
(618) 998-0888
Fax
(618) 993-1808
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180006362ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Naeem a Qureshi PC Past Accepting new patients
Southern Illinois Psychiatry LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13017/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

NPPES NPI Registry

Primary practice location

4503 W Deyoung St
Suite 103C
Marion, IL 62959-5801

Mailing address

4503 W Deyoung St
Suite 103C
Marion, IL 62959-5801
Phone (618) 998-0888

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487770707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 W DEYOUNG ST",
            "address_2": "SUITE 103C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595801",
            "telephone_number": "618-998-0888",
            "fax_number": "618-993-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 W DEYOUNG ST",
            "address_2": "SUITE 103C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595801",
            "telephone_number": "618-998-0888",
            "fax_number": "618-993-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMM",
        "first_name": "SALLIE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.