Individual provider Active NPI

Fernanda Sanchez, LMFT

  • Marriage & Family Therapist
  • Streamwood, IL
National Provider Identifier
1508311812
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.001073 Issued in IL
Practice address
1535 Burgundy Pkwy
Streamwood, IL 60107-1811
Phone
(224) 612-1846
NPI assigned
Aug 17, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.001073 IL Primary

Addresses

Primary practice location

1535 Burgundy Pkwy
Streamwood, IL 60107-1811

Mailing address

1535 Burgundy Pkwy
Streamwood, IL 60107-1811
Phone (224) 612-1846

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
I20240109002133 IL Practitioner - Marriage and Family Therapist 4981055449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Services in Health Psychology, LTDGroup PAC ID 4981736550, 19 clinicians

Practice addresses (Care Compare)

2540 Hauser Ross Dr
Suite 225
Sycamore, IL 60178-3176
Phone (815) 758-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
166.001073ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services in Health Psychology, LTD CurrentSince Jan 1, 2024 Accepting new patients
Three Birds Mental Health Services PLLC Past Accepting new patients

Locations

2100 Huntington Dr N
Ste C
Algonquin, IL 60102
Phone (224) 509-8255

1625 Bethany Rd
Sycamore, IL 60178
Phone (779) 777-7335

2540 Hauser Ross Dr
Ste 225
Sycamore, IL 60178
Phone (815) 758-8400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1508311812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 BURGUNDY PKWY",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071811",
            "telephone_number": "224-612-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 BURGUNDY PKWY",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071811",
            "telephone_number": "224-612-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "FERNANDA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

Verify at the official NPI Registry.