Active NPI
Olivia Valdez-Massena, LCPC
- Professional Counselor
- Lincoln, IL
National Provider Identifier
1184052201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008848
- Practice address
- 515 N College St
Lincoln, IL 62656-1401 - Phone
- (217) 735-2272
- Fax
- (217) 735-2342
- NPI assigned
- Oct 29, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 180008848 | IL | Primary |
Addresses
Primary practice location
515 N College St
Lincoln, IL 62656-1401
Mailing address
710 N 8TH St
Springfield, IL 62702-6324
Phone (217) 525-1064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180008848 | Other | IL | LCPC LICENSE |
Other names 1
- Olivia Massena
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180008848 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients |
Interoperability endpoints
- oliviamassena@sfc.allscriptsdirect.net
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1184052201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N 8TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026324",
"telephone_number": "217-525-1064",
"fax_number": "217-525-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N COLLEGE ST",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626561401",
"telephone_number": "217-735-2272",
"fax_number": "217-735-2342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ-MASSENA",
"first_name": "OLIVIA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC LICENSE",
"identifier": "180008848",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "MASSENA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.