Organization Active NPI

Envisage Counseling Services LLC

  • Mental Health Counselor
  • Champaign, IL
National Provider Identifier
1285375022
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ENVISAGE COUNSELING SERVICES LLC
Practice address
1802 Fox Dr Ste D
Champaign, IL 61820-7280
Phone
(217) 418-3730
NPI assigned
Apr 5, 2022
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Lawanda McGee, LCSWNPI 1285267799
Title
Owner
Phone
(217) 418-3730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1802 Fox Dr Ste D
Champaign, IL 61820-7280

Mailing address

1802 Fox Dr Ste D
Champaign, IL 61820-7280

Other practice location 1

384 Northyards Blvd NW
Atlanta, GA 30313-2440
Phone (217) 766-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031000188 IL Part B Supplier - Clinic/Group Practice 4486021714 Receives reassigned benefits from 1 practitioner
Practice locations: Urbana, IL

National Provider Directory

National Provider Directory

Locations

1802 Fox Dr
Ste D
Champaign, IL 61820
Phone (217) 418-3730

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1285375022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 FOX DR STE D",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 FOX DR STE D",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207280",
            "telephone_number": "217-418-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 Northyards Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303132440",
            "country_code": "US",
            "telephone_number": "217-766-0258",
            "fax_number": "217-883-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENVISAGE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-418-3730",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.