Active NPI
Sarah Yasmin Larimore, MA, LCPC
- Mental Health Counselor
- Wheaton, IL
National Provider Identifier
1902487945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.014638
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014638 | IL | MD | Mental Health Counselor |
| 180.013693 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristin Padera Ma LCPC Inc. | Mental Health | Current | 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.
-
- Mental Health Counselor
- Wheaton, IL
- NPI 1174047138
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.