Active NPI
Jonathan Mark Lindsey, M.S.
- Counselor
- Bloomington, IL
National Provider Identifier
1326243692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180007462
- Practice address
- 207 W Jefferson St
Suite 404
Bloomington, IL 61701-3960 - Phone
- (309) 323-0215
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Counselor | 101Y00000X | 180007462 | IL | Primary |
Addresses
Primary practice location
207 W Jefferson St
Suite 404
Bloomington, IL 61701-3960
Mailing address
207 W Jefferson St
Suite 404
Bloomington, IL 61701-3960
Phone (309) 323-0215
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180007462 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1326243692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W JEFFERSON ST",
"address_2": "SUITE 404",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013960",
"telephone_number": "309-323-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W JEFFERSON ST",
"address_2": "SUITE 404",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013960",
"telephone_number": "309-323-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSEY",
"first_name": "JONATHAN",
"middle_name": "MARK",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180007462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.