MRS. SARAH KATHERINE ROBERTSON (MA) – Counselor, NPI 1568434306

MRS. SARAH KATHERINE ROBERTSON (MA) is a healthcare provider. based in Pekin, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. 180006038 (IL). The NPI Number for MRS. SARAH KATHERINE ROBERTSON (MA) is 1568434306

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SARAH KATHERINE ROBERTSON (MA)
NPI
1568434306
Phone
(309) 241-4041
Address
1014 EISENHOWER DR
Enumeration Date
6 February 2006
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096927755
Graduation Year
2003 (23 years ago)
PAC ID
4284078437
Group Practice PAC ID
0446201693
Professional Enrollment ID
I20241004001271
Address ID
IL616152938PE3716XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MRS. SARAH KATHERINE ROBERTSON (MA)

  • 1014 EISENHOWER DR

    PEKIN, IL 615541508

    Phone: (309) 241-4041

    Type: Mailing

  • 5907, North Tampico Drive, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 616143861

    Phone: (309) 691-0991

    Type: Mailing

  • 3716, West Brighton Avenue, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616152938

    Phone: (309) 692-7755

    Fax: (309) 692-2262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241004001271IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61554)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446201693View full group profile
NameSpecialtyState
Mental Health CounselorIL
-IL
Mental Health CounselorIL
-IL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Is there an official ID for MRS. SARAH KATHERINE ROBERTSON (MA) in U.S. healthcare records?
The official identifier for MRS. SARAH KATHERINE ROBERTSON (MA) is NPI 1568434306.
Is MRS. SARAH KATHERINE ROBERTSON (MA) shown as active in public data?
Registry records indicate MRS. SARAH KATHERINE ROBERTSON (MA) maintains an active NPI.
What area of care is associated with MRS. SARAH KATHERINE ROBERTSON (MA)?
MRS. SARAH KATHERINE ROBERTSON (MA)'s record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
Is MRS. SARAH KATHERINE ROBERTSON (MA) associated with Pekin?
Public fields place MRS. SARAH KATHERINE ROBERTSON (MA) around Pekin, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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