Active NPI
Sandi Langham, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1649519356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008077
- Practice address
- 1770 W Berteau Ave Ste 302a
Chicago, IL 60613-1849 - Phone
- (773) 720-8367
- NPI assigned
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 180.008077 | IL | Primary |
Addresses
Primary practice location
1770 W Berteau Ave Ste 302a
Chicago, IL 60613-1849
Mailing address
4619 N Dover St
Chicago, IL 60640-4652
Phone (773) 720-8367
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318000835 | IL | Practitioner - Mental Health Counselor | 2466899166 | Practice locations: Chicago, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4507 N Ravenswood Ave
Suite 110
Chicago, IL 60640-5218
Phone (773) 720-8367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008077 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1649519356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4619 N DOVER ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404652",
"telephone_number": "773-720-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 W BERTEAU AVE STE 302A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131849",
"telephone_number": "773-720-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGHAM",
"first_name": "SANDI",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008077",
"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 Feb 1, 2013; 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.