Active NPI
Katie McEvoy, LPC
- Professional Counselor
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178015296
- Practice address
- 614 N 6TH St
Springfield, IL 62702-5313 - Phone
- (217) 528-3694
- NPI assigned
- May 11, 2021
- Last updated
- May 11, 2021
- 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 | 178015296 | IL | Primary |
Addresses
Primary practice location
614 N 6TH St
Springfield, IL 62702-5313
Mailing address
614 N 6TH St
Springfield, IL 62702-5313
Phone (217) 528-3694
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
901 N 1St St
Suite 225
Springfield, IL 62702-3760
Phone (217) 788-4065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178015296 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers of Central Illinois | Current | Accepting new patients | |
| Memorial Health Partners | Current | Accepting new patients | |
| Mental Health Centers of Central Illinois | Professional | Current | Accepting new patients |
| The Center for Youth and Family Solutions | Past | Accepting new patients | |
| The Center for Youth and Family Solutions | Past | Accepting new patients |
Locations
3225 Hedley Rd
Springfield, IL 62711
Phone (217) 726-6700
901 N 1st St
Ste 225
Springfield, IL 62702
Phone (217) 523-2217
Interoperability endpoints
- katiemcevoy@memorial.allscriptsdirect.net
Organizations & group practices 5
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.
-
dba Memorial Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, IL
- NPI 1225008113
-
- Family Medicine Physician
- Springfield, IL
- NPI 1376034744
-
dba Memorial Behavioral Health Counseling Associates
- Clinical Social Worker
- Springfield, IL
- NPI 1750614798
Professional
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, IL
- NPI 1134463052
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danville, IL
- NPI 1699040451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1235713744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 N 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025313",
"telephone_number": "217-528-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 N 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025313",
"telephone_number": "217-528-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEVOY",
"first_name": "KATIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178015296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.