Healthcare Provider Details

I. General information

NPI: 1285515916
Provider Name (Legal Business Name): SARAH KNUDSEN MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 CATON FARM RD
PLAINFIELD IL
60586-9905
US

IV. Provider business mailing address

1721 EMERALD POINTE CIR
PLAINFIELD IL
60586-5906
US

V. Phone/Fax

Practice location:
  • Phone: 815-467-8181
  • Fax:
Mailing address:
  • Phone: 815-467-8181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022031
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: