SARAH REYNERTSON COUNSELING SERVICES, LLC (NPI# 1457993032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457993032 |
| Entity Type | Organization |
| Organization Name | SARAH REYNERTSON COUNSELING SERVICES, LLC |
| Practice Address |
1210 E Main St Urbana IL 61802-2830 |
| Practice Telephone | 2176152782 |
| Practice Fax Number | 2174848932 |
| Mailing Telephone | 2176152782 |
| Mailing Fax Number | 2174848932 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | SARAH REYNERTSON (OWNER) |
| Authorized Official Telephone | 2176152782 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1210 E MAIN ST |
| City | URBANA |
| State | IL |
| Zip Code | 61802-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649379504 | Ronald Ellsworth Cramer | Podiatrist | 1210 E Main St, Urbana, IL 61802 | 2006-09-21 |
| 1083994040 | Sarah Marguerite Reynertson | Counselor | 1210 E Main St, Urbana, IL 61802-2830 | 2011-08-23 |
| 1104009125 | Soonok K. Cramer Dpm | Podiatrist | 1210 E Main St, Urbana, IL 61802 | 2007-12-12 |
| 1811085269 | Soonok Kim Cramer | Podiatrist | 1210 E Main St, Urbana, IL 61802 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
| 1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
| 1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
| 1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
| Find all providers in zip 61802 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892013 | Carmen Ramirez-kinsey | Counselor | 201 Lincoln Sq Ste 154a, Urbana, IL 61801-3331 | 2019-10-15 |
| 1750922969 | Lisa Hausman Davison | Counselor | 3409a Urbana Pike Fl 3, Urbana, MD 21704-7772 | 2019-09-30 |
| 1285189803 | Evolution Counseling Center, P.C. | Counselor | 1603 Montgomery St, Urbana, IL 61802-4744 | 2016-08-24 |
| 1396104998 | Katherine Stouffer | Counselor | 115 N Main St Ste C, Urbana, OH 43078-1676 | 2016-02-11 |
| 1255769394 | Kimberly A. G. Leichty | Counselor | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2013-10-29 |
| 1932495223 | Karen Allen Fowler | Counselor | 40 Monument Sq Ste 301, Urbana, OH 43078-2067 | 2011-06-24 |
| 1922217280 | Brooke Jasmine Dibello | Counselor | 1713 E Fairlawn Dr, Urbana, IL 61802-5423 | 2007-05-22 |
| 1326268814 | Tracy F. Grissom | Counselor | 511 W Green St., Urbana, IL 61801-3942 | 2007-04-26 |
| 1316163991 | Sharon Ann Decelle | Counselor | 309 E Holmes St, Urbana, IL 61801-6731 | 2007-04-18 |
| 1740328970 | James R Klein | Counselor | 511 W Green St, Urbana, IL 61801-3942 | 2007-02-01 |
| Find all providers in URBANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.