Individual provider Active NPI

Siera Phillips, M.S. ED., LCPC

  • Mental Health Counselor
  • Sycamore, IL
National Provider Identifier
1508456203
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
215 W Elm St Ste 100a
Sycamore, IL 60178-1858
Phone
(773) 939-2613
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

215 W Elm St Ste 100a
Sycamore, IL 60178-1858

Mailing address

104 E State St Unit 767
Sycamore, IL 60178-3524
Phone (773) 939-2613

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Reflection Is Healing Counseling Services Mental Health CurrentSince May 1, 2022 Accepting new patients

Locations

106 S Lincolnway
Ste A
North Aurora, IL 60542
Phone (630) 801-1669

104 E State St
Unit 767
Sycamore, IL 60178

215 W Elm St
Ste 100A
Sycamore, IL 60178
Phone (773) 939-2613

Organizations & group practices 1

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1508456203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E STATE ST UNIT 767",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783524",
            "telephone_number": "773-939-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W ELM ST STE 100A",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781858",
            "telephone_number": "773-939-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SIERA",
        "credential": "M.S. ED., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.