Michelle McKinnie, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007621 Issued in IL

Practice address

2121 Oneida St
Suite 304
Joliet, IL 60435-6544

Phone

(815) 730-4891

Fax

(815) 730-4918

NPI assigned

Feb 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960

  IL

  Medicare reassignment Care Compare group
• Seven Hills OB-GYN Associates LLC

  • Obstetrics & Gynecology Physician
  • Carmel, IN
  • NPI 1396350187
  Medicare reassignment NPD
• Seven Hills OB-GYN Associates, LLC

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
  • NPI 1780312975
  NPD

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1093139966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324006",
            "telephone_number": "815-730-4891",
            "fax_number": "815-730-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ONEIDA ST",
            "address_2": "SUITE 304",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356544",
            "telephone_number": "815-730-4891",
            "fax_number": "815-730-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNIE",
        "first_name": "MICHELLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel McGuire, DDS
• David Hugh McInnis, ATC, LAT
• Lisa Michelle McIntosh-Leach, LPT
• Cameron Andrew McIntosh, DPT
• Joy C McKenna, APN
• Alicia N McLaughlin, PHD, LCSW
• Mary McLoughlin
• Tiffanie McNair, CNA,MA
• Bonnie B McPhillips, LCPC CRADC
• Colleen McShea

• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.