Active NPI
C Malinda R Vogel, MA, LCPC
- Professional Counselor
- Quincy, IL
National Provider Identifier
1104221076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180002904
- Practice address
- 1891 Maine St
Suite #5
Quincy, IL 62301-4272 - Phone
- (217) 224-4080
- NPI assigned
- Nov 4, 2014
- Sex
- Female
- 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 | 180002904 | IL | Primary |
Addresses
Primary practice location
1891 Maine St
Suite #5
Quincy, IL 62301-4272
Mailing address
1891 Maine St
Suite #5
Quincy, IL 62301-4272
Phone (217) 224-4080
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180002904 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1104221076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1891 MAINE ST",
"address_2": "SUITE #5",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014272",
"telephone_number": "217-224-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 MAINE ST",
"address_2": "SUITE #5",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014272",
"telephone_number": "217-224-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "C MALINDA",
"middle_name": "R",
"credential": "MA, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180002904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.