Jaquette Ebony Sterling-Ransom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2019023835 Issued in MO

Practice address

1725 Spruce Hill Dr
Belleville, IL 62221-3602

Phone

(618) 616-9309

NPI assigned

Sep 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MO, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1497360770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SPRUCE HILL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622213602",
            "telephone_number": "618-616-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SPRUCE HILL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622213602",
            "telephone_number": "618-616-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING-RANSOM",
        "first_name": "JAQUETTE",
        "middle_name": "EBONY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014515",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019023835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Steiner, MS, PHD, LCPC, NCC
• Martha Stelling, SLP
• Stephen a. Schmidt MD SC
• Thelma R Stephens-Ross, CRNA
• Mallory Stepp
• Carol A. Sterling, M.A.
• Sydney P Stevens, PA-C
• Emmanuel Stevenson, OD
• Elizabeth A Stewart, M.D.
• Kimberly Stewart, SLP

• Professional Counselor in Belleville, IL
• Providers in Belleville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.