Individual provider Active NPI

Sloan W. Kodroff, MA CMHC, LCPC.

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1861941767
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010819 Issued in IL
Practice address
2101 S Arlington Heights Rd Ste 116
Arlington Heights, IL 60005-4142
Phone
(847) 666-5339
Fax
(847) 637-5479
NPI assigned
Oct 3, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 178.011053 IL
Professional Counselor 101YP2500X 180.010819 IL Primary

Addresses

Primary practice location

2101 S Arlington Heights Rd Ste 116
Arlington Heights, IL 60005-4142

Mailing address

671 E Constitution Dr Apt 5
Palatine, IL 60074-1932
Phone (847) 917-4610

Other practice location 1

620 Wing St
Ste #3
Elgin, IL 60123-2800
Phone (847) 450-0524

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315001118 IL Practitioner - Mental Health Counselor 9638515349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Clinic Arlington Heights LLCGroup PAC ID 0840558094, 29 clinicians

Practice addresses (Care Compare)

2101 S Arlington Heights Rd
Suite 116
Arlington Heights, IL 60005-4142
Phone (847) 666-5339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.011053ILMDProfessional Counselor
180.010819ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Clinic Arlington Heights, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2101 S Arlington Heights Rd
Ste 116
Arlington Heights, IL 60005
Phone (847) 666-5339

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861941767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E CONSTITUTION DR APT 5",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600741932",
            "telephone_number": "847-917-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD STE 116",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054142",
            "telephone_number": "847-666-5339",
            "fax_number": "847-637-5479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Wing St",
            "address_2": "Ste #3",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601232800",
            "country_code": "US",
            "telephone_number": "847-450-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODROFF",
        "first_name": "SLOAN",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "MA CMHC, LCPC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011053",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.