Organization Active NPI

Sara Lewis, LCPC, LLC

  • Mental Health Counselor
  • Highland Park, IL
National Provider Identifier
1821741935
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SARA LEWIS, LCPC, LLC
Practice address
1666 Old Briar Rd
Highland Park, IL 60035-4434
Phone
(847) 560-4900
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Sara Lewis, MS, LCPC
Title
Owner
Phone
(847) 560-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1666 Old Briar Rd
Highland Park, IL 60035-4434

Mailing address

1666 Old Briar Rd
Highland Park, IL 60035-4434

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SRFL@hotmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1821741935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 OLD BRIAR RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 OLD BRIAR RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354434",
            "telephone_number": "847-560-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA LEWIS, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-560-4900",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SRFL@hotmail.com",
            "affiliation": "N",
            "address_1": "1666 Old Briar Rd",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600354434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.