Individual provider Active NPI

Sheerine Bazargani

  • Addiction (Substance Use Disorder) Counselor
  • Champaign, IL
National Provider Identifier
1922543719
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
32044 Issued in IL
Practice address
1801 Fox Dr
Champaign, IL 61820-7236
Phone
(217) 398-8080
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32044 IL Primary

Addresses

Primary practice location

1801 Fox Dr
Champaign, IL 61820-7236

Mailing address

305 E Country Club Rd
Urbana, IL 61801-1107

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
I20240404003439 IL Practitioner - Mental Health Counselor 1951749209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 Chatham Rd
Springfield, IL 62704-4188
Phone (447) 910-8560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32044ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Elliott Counseling PC CurrentSince Mar 1, 2024 Accepting new patients
Serene Counseling Services, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

2001 Philo Rd
Urbana, IL 61802
Phone (217) 552-1211

Organizations & group practices 2

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1922543719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E COUNTRY CLUB RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOX DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207236",
            "telephone_number": "217-398-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZARGANI",
        "first_name": "SHEERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "32044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.