Active NPI
Michael Lammert, LCPC/CRADC
- Addiction (Substance Use Disorder) Counselor
- Lawrenceville, IL
National Provider Identifier
1275720203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1501 Olive St
Lawrenceville, IL 62439-2269 - Phone
- (618) 943-3451
- Fax
- (618) 943-4368
- NPI assigned
- Oct 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | IL |
Addresses
Primary practice location
1501 Olive St
Lawrenceville, IL 62439-2269
Mailing address
PO Box M
504 Micah Drive
Olney, IL 62450-0913
Phone (618) 395-4306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1875 | Other | IL | CRADC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180004354 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1275720203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX M",
"address_2": "504 MICAH DRIVE",
"city": "OLNEY",
"state": "IL",
"postal_code": "624500913",
"telephone_number": "618-395-4306",
"fax_number": "618-395-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 OLIVE ST",
"city": "LAWRENCEVILLE",
"state": "IL",
"postal_code": "624392269",
"telephone_number": "618-943-3451",
"fax_number": "618-943-4368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMMERT",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCPC/CRADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRADC",
"identifier": "1875",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.