Sisu Counseling Center, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SISU COUNSELING CENTER, PLLC

Practice address

3913 15TH Street D Unit A1
Moline, IL 61265-7267

Phone

(309) 581-1585

Fax

(309) 581-1583

NPI assigned

Dec 27, 2023

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christine Sarah Keemle, LCPCNPI 1639638885

Title

Licensed Clinical Professional Coun

Phone

(309) 581-1585

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Sarah Keemle

  • Professional Counselor
  • Moline, IL
  • NPI 1639638885

  Mental Health

  NPD Authorized official
• Haley Funk

  • Mental Health Counselor
  • Moline, IL
  • NPI 1700574597
  NPD (past)

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1851160204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 15TH STREET D UNIT A 1/2",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657267",
            "telephone_number": "309-716-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 15TH STREET D UNIT A1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657267",
            "telephone_number": "309-581-1585",
            "fax_number": "309-581-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "KEEMLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "309-581-1585",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Diocson Simpao, PT
• Param Puneet Singh, M.D.
• Annette Zoe Sirek Jones, MS, CCC-SLP
• Adiba Makhammatovna Sirojeva, APRN
• Phanicharan Aditya Sistla, M.D.
• Donna J Sivertsen, RD, LDN, CDE
• Veronica Skaradzinski, MS, RDN, LDN
• Kristine Skinner, BSW, MHP
• Jessica Slover Miller, LCPC, LMHC
• Elizabeth L Smith, LCSW

• Mental Health Counselor in Moline, IL
• Providers in Moline, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.