Provider Demographics
NPI:1992432553
Name:RAINS, SARAH LYNN (LCPC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LYNN
Last Name:RAINS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 N DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-3310
Mailing Address - Country:US
Mailing Address - Phone:312-631-7987
Mailing Address - Fax:312-943-3530
Practice Address - Street 1:867 N DEARBORN ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3310
Practice Address - Country:US
Practice Address - Phone:312-631-7987
Practice Address - Fax:312-943-3530
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL35322101YA0400X
IL180.013604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)