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Sandra Roberts , LCPC

Counselor - Professional β€’ Springfield, IL

Active NPI 1417386699 Individual Practitioner Female Practitioner
Practice location in NPPES

2134 W Lawrence Ave
Springfield, IL 627041417

Call 2175650014 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

2134 W Lawrence Ave

Springfield, IL 627041417

Telephone 2175650014
Organization at the Same NPPES Address or Phone
Life Builders Counseling Center Facility NPI 1306220371

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

NPI first issued

2013

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 Springfield and Illinois

186 active clinicians are listed under Counselor - Professional with a practice address in Springfield, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

3.8% of these 186 clinicians have the CMS telehealth indicator.

15.1% of these 186 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

Self-certified to NPPES: 2023-07-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180008852
Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 180008852

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES IL 180008852
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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State License
180008852 (IL)

Career & Practice History Timeline

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

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 21, 2023

Recorded as SANDRA ROBERTS, LCPC

πŸ“
Updated Practice Location September 18, 2021

Registered at 2134 W LAWRENCE AVE, SPRINGFIELD, IL 627041417 (Tel: 2175650014)

πŸ“
Updated Business Mailing Address September 18, 2021

Registered at 2134 W LAWRENCE AVE, SPRINGFIELD, IL 627041417 (Tel: 2175650014)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2021

Counselor (license number reported to NPPES: IL 180008852)

βœ…
NPI Profile Active November 07, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 07, 2013

Registered at 5230 S 6TH STREET RD, SPRINGFIELD, IL 627035128 (Tel: 2175851180)

πŸ“
Business Mailing Address (Initial Record) November 07, 2013

Registered at 5230 S 6TH STREET RD, SPRINGFIELD, IL 627035128 (Tel: 2175851180)

πŸ‘€
Provider Name / Credentials (Initial Record) November 07, 2013

Recorded as SANDRA LANCASTER, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2013

Counselor (license number reported to NPPES: IL 180008852)

🟒
Initial NPI Registration & Enumeration November 07, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417386699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2013
Last Update: July 21, 2023
Sole Proprietor: No

Mailing Address

2134 W Lawrence Ave

Springfield, IL 627041417

Phone: 2175650014

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.