Active NPI
Michael Hendon, LPC
- Clinical Psychologist
- Winnetka, IL
National Provider Identifier
1316324312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010385
- Practice address
- 588 Lincoln Ave Ste 200
Winnetka, IL 60093-2308 - Phone
- (773) 681-9212
- NPI assigned
- Apr 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.010385 | IL | Primary |
| Professional Counselor | 101YP2500X | 178.009285 | IL |
Addresses
Primary practice location
588 Lincoln Ave Ste 200
Winnetka, IL 60093-2308
Mailing address
588 Lincoln Ave Ste 200
Winnetka, IL 60093-2308
Phone (773) 681-9212
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 |
|---|---|---|---|
| 178.009285 | IL | MD | Professional Counselor |
| 071.010385 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1316324312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 LINCOLN AVE STE 200",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600932308",
"telephone_number": "773-681-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 LINCOLN AVE STE 200",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600932308",
"telephone_number": "773-681-9212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDON",
"first_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010385",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.009285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.