Individual provider Active NPI

Timothy Meehan, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1225708209
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.013133 Issued in IL
Practice address
405 N Wabash Ave Unit 1114
Chicago, IL 60611-3597
Phone
(312) 755-7000
NPI assigned
Sep 20, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.013133 IL Primary

Addresses

Primary practice location

405 N Wabash Ave Unit 1114
Chicago, IL 60611-3597

Mailing address

6430 N Glenwood Ave Apt 1H
Chicago, IL 60626-5153
Phone (323) 646-8867

Other practice location 1

636 Church St
Evanston, IL 60201-4508
Phone (312) 755-7000

Other practice location 2

1300 W Belmont Ave Ste 201
Chicago, IL 60657-3240
Phone (312) 755-7000

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

State licenses

LicenseStateTypeSpecialty
178.013133ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Center for Psychological Services, LLC PastSince Sep 28, 2021 Accepting new patients

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1225708209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 N GLENWOOD AVE APT 1H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265153",
            "telephone_number": "323-646-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 1114",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113597",
            "telephone_number": "312-755-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Church St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602014508",
            "country_code": "US",
            "telephone_number": "312-755-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Belmont Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573240",
            "country_code": "US",
            "telephone_number": "312-755-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "TIMOTHY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.