Individual provider Active NPI

Raymond Mikula, LCPC

  • Professional Counselor
  • Elgin, IL
National Provider Identifier
1063958122
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014285 Issued in IL
Practice address
1590 Weatherstone LN Ste SE
Elgin, IL 60123-2059
Phone
(847) 845-2618
NPI assigned
Jan 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 180.014285 IL Primary

Addresses

Primary practice location

1590 Weatherstone LN Ste SE
Elgin, IL 60123-2059

Mailing address

1590 Weatherstone LN Ste SE
Elgin, IL 60123-2059
Phone (847) 845-2618

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
180.014285ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond M Mikula LCPC Professional Corporation Professional Current Accepting new patients

Locations

1590 Weatherstone Ln
Ste Se
Elgin, IL 60123
Phone (847) 845-2618

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1063958122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 WEATHERSTONE LN STE SE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232059",
            "telephone_number": "847-845-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WEATHERSTONE LN STE SE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232059",
            "telephone_number": "847-845-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULA",
        "first_name": "RAYMOND",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.