Sierracounseling & Mediation, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000561 Issued in IL

Legal business name

SIERRACOUNSELING & MEDIATION, LLC

Practice address

6609 W Main St
Suite a
Belleville, IL 62223-3025

Phone

(618) 398-6552

Fax

(618) 398-0075

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Marie Sierra, PH.D.NPI 1639199854

Title

Director

Phone

(618) 398-6552

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivian Marie Sierra, PH.D. LMFT

  • Marriage & Family Therapist
  • Belleville, IL
  • NPI 1639199854
  NPD (past) Authorized official
• Yvonne M McCall, MA, LCPC

  • Professional Counselor
  • Edwardsville, IL
  • NPI 1053637827
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1710215454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 W MAIN ST",
            "address_2": "SUITE A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233025",
            "telephone_number": "618-398-6552",
            "fax_number": "618-398-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 W MAIN ST",
            "address_2": "SUITE A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233025",
            "telephone_number": "618-398-6552",
            "fax_number": "618-398-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRACOUNSELING & MEDIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-398-6552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639199854",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nai Hua Shu, M.D.
• Grace Nicole Shutz
• Si Medical Weight Loss
• Craig A Sieron, OD
• Vivian Marie Sierra, PH.D. LMFT
• Nathan Joseph Siesener, MD
• Signal Hill School District 181
• Jessica Silvia, RN
• Kenneth Addison Silvia II, MD
• Kathrin Simac, COUNSELOR

• Marriage & Family Therapist in Belleville, IL
• Providers in Belleville, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.