Timothy McNeill, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178020880 Issued in IL

Practice address

525 E Beaumont Ave Apt B
Greenville, IL 62246-1262

Phone

(510) 847-3386

NPI assigned

Aug 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tim McNeill Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1295381804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E BEAUMONT AVE APT B",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461262",
            "telephone_number": "510-847-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E BEAUMONT AVE APT B",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461262",
            "telephone_number": "510-847-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6505 216th St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432089",
            "country_code": "US",
            "telephone_number": "510-847-3386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "TIMOTHY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-11",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61028886",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178020880",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "MCNEILL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Matthew J McCullough DMD PC
• Krystal Marie McClenahan, MPT
• Boyd A. McCracken, M.D.
• Matthew James McCullough, D.M.D.
• Brittany Morgan McKinzie, BA
• Lisa Yvonne McNutt, RN
• Medical Services of Southern Illinois
• Howard K Mell, M.D.
• Delwin Merchant, MD
• Neil Leon Micnheimer, D.C.

• Mental Health Counselor in Greenville, IL
• Providers in Greenville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.