Active NPI
Peggy Tell, LCPC
- Professional Counselor
- Taylorville, IL
National Provider Identifier
1336220565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 730 North Pawnee
Taylorville, IL 62568 - Phone
- (217) 824-4905
- Fax
- (217) 824-3570
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
730 North Pawnee
Taylorville, IL 62568
Mailing address
PO Box 438
Taylorville, IL 62568
Phone (217) 824-4905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031140012 | Other | BCBS |
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 |
|---|---|---|---|
| 180002131 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian County Mental Health Association | Past | Accepting new patients | |
| County of Christian | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Taylorville, IL
- NPI 1831267210
-
- Public Health or Welfare Agency
- Taylorville, IL
- NPI 1538380837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336220565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 438",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "62568",
"telephone_number": "217-824-4905",
"fax_number": "217-824-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 NORTH PAWNEE",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "62568",
"telephone_number": "217-824-4905",
"fax_number": "217-824-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELL",
"first_name": "PEGGY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0031140012",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylorville, IL
- Taylorville Memorial Hospital Home Care
- Taylorville Skilled Nursing & Rehab LLC
- Taylorville Skilled Nursing & Rehab LLC
- Taylorville Skilled Nursing & Rehab LLC
- Taylorville Vision Center, LTD
- Gina Berg Thompson, RPH
- Kelsie A. Tobias, LCSW
- Billie J Toland, FNP-BC
- Toofan Medical Holdings, LTD
- Toofan Medical Holdings, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.