Active NPI
Sarah Vassileff, LCPC, EMDR
- Professional Counselor
- Chicago, IL
National Provider Identifier
1629701495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.016095
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.016095 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peony Path Psychotherapy PLLC | Professional | Current | Accepting new patients |
| Emerge Psychology Group LLC | Professional | Past | 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.
-
- Professional Counselor
- Chicago, IL
- NPI 1467312603
-
- Professional Counselor
- Chicago, IL
- NPI 1063005080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.