Julie E Sellner, LCPC
Individual provider Active NPI Adolescent and Children Mental Health Clinic/Center · Metamora, IL
NPI 1972657732 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1972657732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- License
- 180.005723 (IL)
- Practice address
- 1431 Lourdes Rd
Metamora, IL 61548-7609 - Phone
- (309) 383-4323
- Fax
- (309) 383-4323
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mended Hearts Stable
Practice addresses (Care Compare)
1431 Lourdes Rd
Metamora, IL 61548-7609
Phone (309) 383-4323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726002233 | IL | Practitioner - Mental Health Counselor | 8224574157 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.005723 | IL | MD | Adult Mental Health Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mended Hearts Stable | Adolescent and Children Mental Health | Current |
Accepting new patients |
Locations
1431 Lourdes Rd
Metamora, IL 61548
Phone (309) 383-4323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 180.005723 | IL | Yes |
| Adult Mental Health Clinic/Center | 261QM0850X | 180.005723 | IL |
Addresses
Primary practice location
1431 Lourdes Rd
Metamora, IL 61548-7609
Mailing address
1431 Lourdes Rd
Metamora, IL 61548-7609
Phone (309) 383-4323
Other providers in Metamora, IL
- Amanda Sue Rhoades
- Jill S Roberts
- Megan Rose
- Frank David Sauder
- Carissa Mae Schmitz
- Madison Silverthorn
- Lori Ann Singletary
- Jennah Lahood Siwak
- Carmen Michelle Smith
- Brooke Norine Stamm
All providers in Metamora, IL · Adolescent and Children Mental Health Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.