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Sandra Devries , M ED

Counselor β€’ Freeport, IL

Active NPI 1700111655 Individual Practitioner Female Practitioner
Practice location in NPPES

421 W Exchange St
Freeport, IL 61032

Call 8155997300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

421 W Exchange St

Freeport, IL 61032

Telephone 8155997300
Organization at the Same NPPES Address or Phone
Jane Addams Community Mental Health Center Facility NPI 1124190335

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Flagstaff, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Freeport and Illinois

38 active clinicians are listed under Counselor with a practice address in Freeport, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Freeport

0% of these 38 clinicians have the CMS telehealth indicator.

0% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

2187 N Vickey St

Flagstaff, AZ 860046121

Phone: 9285271899

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Ranjit Batth , LCSW

Social Worker - Clinical

NPI 1609929702

Licensed Clinical Social Worker

Natalie Beck , LCSW CADC

Social Worker - Clinical

NPI 1073060364

LCSWCADC

Deborah Burnell , LCSW

Social Worker - Clinical

NPI 1003864968

Licensed Clinical Social Worker

Maria Chinweze Enujiofor

Social Worker - Clinical

NPI 1598230146
Susan Johnson , LCSW

Social Worker - Clinical

NPI 1780827832

Licensed Clinical Social Worker

Kelsey Lanou

Social Worker - Clinical

NPI 1235809393

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 29, 2018

Registered at 421 W EXCHANGE ST, FREEPORT, IL 61032 (Tel: 8155997300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Counselor

βœ…
NPI Profile Active October 09, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 09, 2009

Registered at 2187 N VICKEY ST, FLAGSTAFF, AZ 860046121 (Tel: 9285271899)

πŸ“
Business Mailing Address (Initial Record) October 09, 2009

Registered at 2187 N VICKEY ST, FLAGSTAFF, AZ 860046121

πŸ‘€
Provider Name / Credentials (Initial Record) October 09, 2009

Recorded as SANDRA DEVRIES, M ED

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2009

Counselor (license number reported to NPPES: AZ LISAC-10877)

🟒
Initial NPI Registration & Enumeration October 09, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700111655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2009
Last Update: October 29, 2018
Sole Proprietor: No

Mailing Address

2187 N Vickey St

Flagstaff, AZ 860046121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.