Active NPI
Sarah L Fletcher, MAC, LPC, QMHP
- Professional Counselor
- Eldorado, IL
National Provider Identifier
1699209148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.012810
- Practice address
- 1412 US Highway 45 N
Eldorado, IL 62930-3766 - Phone
- (618) 273-3326
- Fax
- (618) 273-2808
- NPI assigned
- Apr 11, 2017
- 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 | 178.012810 | IL | Primary |
Addresses
Primary practice location
1412 US Highway 45 N
Eldorado, IL 62930-3766
Mailing address
1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone (618) 273-3326
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 |
|---|---|---|---|---|
| I20240925000845 | IL | Practitioner - Mental Health Counselor | 3375084791 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caring Counseling Ministries
Practice addresses (Care Compare)
11264 Route 37
Marion, IL 62959-8360
Phone (618) 997-2129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.012810 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacquelyn a Muniz, Psy.D., LLC | Current | Accepting new patients | |
| Caring Counseling Ministries | Current | Accepting new patients |
Locations
11264 Route 37
Marion, IL 62959
Phone (618) 964-4255
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.
-
- Psychologist
- Marion, IL
- NPI 1316315716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1699209148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 US HIGHWAY 45 N",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629303766",
"telephone_number": "618-273-3326",
"fax_number": "618-273-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 US HIGHWAY 45 N",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629303766",
"telephone_number": "618-273-3326",
"fax_number": "618-273-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SARAH",
"middle_name": "L",
"credential": "MAC, LPC, QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.012810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldorado, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.