Active NPI
Richard William Schupner, M.A.
- Professional Counselor
- McHenry, IL
National Provider Identifier
1104078096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-000397
- Practice address
- 5419 Bull Valley Rd
McHenry, IL 60050-7410 - Phone
- (815) 578-0115
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 180-000397 | IL | Primary |
Addresses
Primary practice location
5419 Bull Valley Rd
McHenry, IL 60050-7410
Mailing address
5419 Bull Valley Rd
McHenry, IL 60050-7410
Phone (815) 578-0115
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 |
|---|---|---|---|
| 180-000397 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1104078096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 BULL VALLEY RD",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600507410",
"telephone_number": "815-578-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5419 BULL VALLEY RD",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600507410",
"telephone_number": "815-578-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUPNER",
"first_name": "RICHARD",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-000397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.