Individual provider Active NPI

Sarah Ann Kolkmeyer, LPC

  • Professional Counselor
  • Oak Lawn, IL
National Provider Identifier
1497256010
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.013708 Issued in IL
Practice address
10735 S Cicero Ave Ste 208
Oak Lawn, IL 60453-6214
Phone
(708) 424-0001
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.013708 IL Primary

Addresses

Primary practice location

10735 S Cicero Ave Ste 208
Oak Lawn, IL 60453-6214

Mailing address

10735 S Cicero Ave Ste 208
Oak Lawn, IL 60453-6214
Phone (708) 424-0001

Other names 1

  • Ms. Sarah Ann Rakauskas Former name

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
178.013708ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services,LTD Past Accepting new patients
Center for Psychological Services - Oak Lawn LTD PastSince Dec 17, 2003 Accepting new patients

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1497256010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE STE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536214",
            "telephone_number": "708-424-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE STE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536214",
            "telephone_number": "708-424-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKMEYER",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RAKAUSKAS",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.