Individual provider Active NPI

Sarah Vassileff, LCPC, EMDR

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1629701495
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016095 Issued in IL
Practice address
1700 W Irving Park Rd Ste And302
Chicago, IL 60613-2559
Phone
(773) 340-1361
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016095 IL Primary

Addresses

Primary practice location

1700 W Irving Park Rd Ste And302
Chicago, IL 60613-2559

Mailing address

676 N la Salle Dr Apt 523
Chicago, IL 60654-3970
Phone (224) 475-3490

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
I20260102002536 IL Practitioner - Mental Health Counselor 6709372378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 E Huron St
Suite 300
Chicago, IL 60611-5244
Phone (224) 475-3490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016095ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peony Path Psychotherapy PLLC Professional CurrentSince Nov 19, 2025 Accepting new patients
Emerge Psychology Group LLC Professional PastSince Jul 4, 2021 Accepting new patients

Locations

40 E Huron St
Ste 320
Chicago, IL 60611
Phone (224) 475-3490

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1629701495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N LA SALLE DR APT 523",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543970",
            "telephone_number": "224-475-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE AND302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132559",
            "telephone_number": "773-340-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSILEFF",
        "first_name": "SARAH",
        "credential": "LCPC, EMDR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.