Individual provider Active NPI

Sarah Benitone, LCPC

  • Professional Counselor
  • Marion, IL
National Provider Identifier
1710513486
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014545 Issued in IL
Practice address
5208 Meadowland Pkwy
Marion, IL 62959-6386
Phone
(618) 595-0305
NPI assigned
Mar 13, 2020
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.014788 IL
Professional Counselor 101YP2500X 180.014545 IL Primary

Addresses

Primary practice location

5208 Meadowland Pkwy
Marion, IL 62959-6386

Mailing address

1301 Enterprise Way Ste 50a
Marion, IL 62959-4410
Phone (618) 595-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.014788ILMDProfessional Counselor
180.014545ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Counseling CurrentSince Feb 12, 2023 Accepting new patients

Locations

1301 Enterprise Way
Ste 50A
Marion, IL 62959
Phone (217) 971-0088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1710513486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ENTERPRISE WAY STE 50A",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594410",
            "telephone_number": "618-595-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 MEADOWLAND PKWY",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596386",
            "telephone_number": "618-595-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITONE",
        "first_name": "SARAH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014788",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.