Individual provider Active NPI

Emma Mikan

  • Counselor
  • Palatine, IL
National Provider Identifier
1154134757
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.016464 Issued in IL
Practice address
1240 W Northwest Hwy
Palatine, IL 60067-1897
Phone
(773) 592-7227
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.016464 IL Primary

Addresses

Primary practice location

1240 W Northwest Hwy
Palatine, IL 60067-1897

Mailing address

3591 Persimmon Dr
Algonquin, IL 60102-4816
Phone (847) 890-5549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250911001249 IL Practitioner - Mental Health Counselor 5395248876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lotus Wellness Center PCGroup PAC ID 8921375908, 7 clinicians

Practice addresses (Care Compare)

1240 W Northwest Hwy
Palatine, IL 60067-1897
Phone (773) 592-7227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016464ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Wellness Center P.C. CurrentSince Jul 24, 2025 Accepting new patients

Locations

1240 W Northwest Hwy
Palatine, IL 60067
Phone (773) 592-7227

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1154134757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 PERSIMMON DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024816",
            "telephone_number": "847-890-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671897",
            "telephone_number": "773-592-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKAN",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.016464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.