Individual provider Active NPI

Linda Tandet, LCSW

  • Professional Counselor
  • Long Grove, IL
National Provider Identifier
1003111329
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
149.002888 Issued in IL
Practice address
4180 Il Route 83
Suite 10
Long Grove, IL 60047-9563
Phone
(847) 707-1231
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 149.002888 IL Primary

Addresses

Primary practice location

4180 Il Route 83
Suite 10
Long Grove, IL 60047-9563

Mailing address

4180 Il Route 83
Suite 10
Long Grove, IL 60047-9563
Phone (847) 707-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.002888ILMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1003111329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 IL ROUTE 83",
            "address_2": "SUITE 10",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479563",
            "telephone_number": "847-707-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 IL ROUTE 83",
            "address_2": "SUITE 10",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479563",
            "telephone_number": "847-707-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDET",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "149.002888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.