Individual provider Active NPI

Sarah Yasmin Larimore, MA, LCPC

  • Mental Health Counselor
  • Wheaton, IL
National Provider Identifier
1902487945
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.014638 Issued in IL
Practice address
2100 Manchester Rd Ste 509
Wheaton, IL 60187-4586
Phone
(239) 682-7377
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.014638 IL Primary
Mental Health Counselor 101YM0800X 180.013693 IL

Addresses

Primary practice location

2100 Manchester Rd Ste 509
Wheaton, IL 60187-4586

Mailing address

2100 Manchester Rd Ste 509
Wheaton, IL 60187-4586
Phone (239) 682-7377

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Other

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.014638ILMDMental Health Counselor
180.013693ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Padera Ma LCPC Inc. Mental Health CurrentSince Apr 20, 2021 Accepting new patients

Locations

1131 Wheaton Oaks Ct
Wheaton, IL 60187
Phone (630) 940-6828

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1902487945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 509",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874586",
            "telephone_number": "239-682-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 509",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874586",
            "telephone_number": "239-682-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIMORE",
        "first_name": "SARAH",
        "middle_name": "YASMIN",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014638",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "1131 Wheaton Oaks Ct",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601873181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.