Sherry L Pfeaster, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012186 Issued in IL

Practice address

1016 S Madison St
Suite a
Du Quoin, IL 62832-2442

Phone

(618) 542-4357

Fax

(618) 542-3442

NPI assigned

Nov 9, 2006

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perry County Counseling Center IncGroup PAC ID 5092702597, 4 clinicians

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

• Perry County Counseling Center Inc

  dba Southern Illinois Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Du Quoin, IL
  • NPI 1063460897

  Clinical

  Medicare reassignment Care Compare group NPD
• Perry County Counseling Center Inc

  dba Southern Illinois Behavioral Services

  • Professional Counselor
  • Du Quoin, IL
  • NPI 1538301577
  NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1578633277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S MADISON ST",
            "address_2": "SUITE A",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322442",
            "telephone_number": "618-542-4357",
            "fax_number": "618-542-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S MADISON ST",
            "address_2": "SUITE A",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322442",
            "telephone_number": "618-542-4357",
            "fax_number": "618-542-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEASTER",
        "first_name": "SHERRY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry County Counseling Center Inc (Southern Illinois Behavioral Services)
• Perry County Counseling Center Inc (Southern Illinois Behavioral Services)
• Perry County Counseling Center Inc (Southern Illinois Behavioral Services)
• Perry County Counseling Center, Inc.
• Perry County Counseling Center, Inc.
• Michael H Poiter, PA-C
• Jill N Powles, RN
• Kasey Maria Pyron, D.M.D.
• Benjamin T Rathert, MD
• Elizabeth Reeder, RN

• Clinical Social Worker in Du Quoin, IL
• Providers in Du Quoin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.