Individual provider Active NPI

Lindsay Brummell, LPC

  • Professional Counselor
  • Carthage, IL
National Provider Identifier
1235773565
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015383 Issued in IL
Practice address
1450 N County Road 2050 E
Carthage, IL 62321-3551
Phone
(217) 357-6888
Fax
(217) 214-5450
NPI assigned
Oct 30, 2019
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 180.015383 IL Primary

Addresses

Primary practice location

1450 N County Road 2050 E
Carthage, IL 62321-3551

Mailing address

1450 N County Road 2050 E
Carthage, IL 62321-3551
Phone (636) 224-1210

Other identifiers 2

IdentifierTypeStateIssuer
180.015383OtherILIL LCPC LICENSE
178.015326OtherILIL LPC LICENSE

Other names 1

  • Lindsay Schaffer Former name

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
I20240111004229 IL Practitioner - Mental Health Counselor 6305209842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital AssociationGroup PAC ID 0244134682, 39 clinicians

Practice addresses (Care Compare)

1454 N Co Rd 2050
Carthage, IL 62321-0160

1454 N County Rd
Carthage, IL 62321-0160
Phone (217) 357-8500

PO Box
Carthage, IL 62321-0160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.015383ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Memorial Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Memorial Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Memorial Hospital Association Current Accepting new patients
Memorial Hospital Association Past Accepting new patients

Locations

209 E 5th St
Bowen, IL 62316
Phone (217) 842-5211

1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

630 Locust St
Carthage, IL 62321
Phone (217) 357-2173

630 Locust St
Ste A
Carthage, IL 62321

1471 Keokuk St
Hamilton, IL 62341
Phone (217) 847-3383

951 Broadway St
Hamilton, IL 62341
Phone (217) 551-3100

501 E Main St
La Harpe, IL 61450
Phone (217) 659-3844

Interoperability endpoints

  • Direct secure messaging: lbrummell977278@direct.unitypoint.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1235773565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N COUNTY ROAD 2050 E",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623213551",
            "telephone_number": "636-224-1210",
            "fax_number": "636-946-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N COUNTY ROAD 2050 E",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623213551",
            "telephone_number": "217-357-6888",
            "fax_number": "217-214-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMELL",
        "first_name": "LINDSAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LCPC LICENSE",
            "identifier": "180.015383",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LPC LICENSE",
            "identifier": "178.015326",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "SCHAFFER",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carthage, IL

Sources for this page

Verify at the official NPI Registry.