Healthcare Provider Details

I. General information

NPI: 1932018900
Provider Name (Legal Business Name): SARA THOMPSON COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 E WASHINGTON ST STE 3E
BLOOMINGTON IL
61701-4365
US

IV. Provider business mailing address

2860 COUNTY ROAD 700 N
EL PASO IL
61738-1742
US

V. Phone/Fax

Practice location:
  • Phone: 309-487-2499
  • Fax:
Mailing address:
  • Phone: 309-487-2499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARA THOMPSON
Title or Position: MANAGING MEMBER
Credential:
Phone: 309-487-2499