Michelle Verheyen, LPC, NCC

Key facts

NPI

1033868013

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

178.017861 (IL)

Practice address

100 Batson CT Ste 206
New Lenox, IL 60451-1565

Phone

(815) 409-5940

Fax

(815) 206-8012

NPI assigned

Mar 18, 2022

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2022.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1033868013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S ANDERSON RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512940",
            "telephone_number": "815-922-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BATSON CT STE 206",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511565",
            "telephone_number": "815-409-5940",
            "fax_number": "815-206-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHEYEN",
        "first_name": "MICHELLE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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