Active NPI
Airiel A Sadler, LCSW
- Mental Health Counselor
- Champaign, IL
National Provider Identifier
1538871694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 149.023566
- Practice address
- 411 E Park St Ste 106
Champaign, IL 61820-3862 - Phone
- (309) 886-5021
- Fax
- (855) 216-6514
- NPI assigned
- Dec 20, 2022
- Last updated
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 149.023566 | IL | Primary |
Addresses
Primary practice location
411 E Park St Ste 106
Champaign, IL 61820-3862
Mailing address
1011 S Mattis Ave Apt 5-4
Champaign, IL 61821-4856
Phone (217) 979-8982
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.023566 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No More Bound | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Champaign, IL
- NPI 1396628236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1538871694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 S MATTIS AVE APT 5-4",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618214856",
"telephone_number": "217-979-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E PARK ST STE 106",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203862",
"telephone_number": "309-886-5021",
"fax_number": "855-216-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLER",
"first_name": "AIRIEL",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-20",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149.023566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.