Active NPI
Linda L Warden-Michl, MA, NCC, LPC
- Professional Counselor
- Decatur, IL
National Provider Identifier
1023302130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.006617
- Practice address
- 132 S Water St
Suite 630
Decatur, IL 62523-1332 - Phone
- (217) 330-6963
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.006617 | IL | Primary |
Addresses
Primary practice location
132 S Water St
Suite 630
Decatur, IL 62523-1332
Mailing address
3165 Marble PT
Decatur, IL 62521-9499
Phone (217) 865-2047
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.006617 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1023302130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3165 MARBLE PT",
"city": "DECATUR",
"state": "IL",
"postal_code": "625219499",
"telephone_number": "217-865-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S WATER ST",
"address_2": "SUITE 630",
"city": "DECATUR",
"state": "IL",
"postal_code": "625231332",
"telephone_number": "217-330-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDEN-MICHL",
"first_name": "LINDA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MA, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.006617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.