Individual provider Active NPI

Michael Scott Applegate, LCPC, ATR

  • Professional Counselor
  • Berwyn, IL
National Provider Identifier
1366046294
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180016396 Issued in IL
Practice address
2710 Harvey Ave
Berwyn, IL 60402-2703
Phone
(317) 361-6314
NPI assigned
Nov 22, 2020
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
180016396ILMDProfessional Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180016396 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2710 Harvey Ave
Berwyn, IL 60402-2703

Mailing address

2710 Harvey Ave
Berwyn, IL 60402-2703
Phone (317) 361-6314

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2025.

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1366046294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HARVEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022703",
            "telephone_number": "317-361-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HARVEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022703",
            "telephone_number": "317-361-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "LCPC, ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-22",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180016396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.