Madeline Karen Tippett, MA, ATR, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.016362 Issued in IL

Practice address

4211 N Prospect Rd
Peoria, IL 61616-7754

Phone

(309) 691-5502

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Madeline Karen Wolfe Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Lisa Schwab, LLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Lisa Schwab, LLC

  • Professional Counselor
  • Peoria Heights, IL
  • NPI 1194193235

  IL, Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1386332575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616167754",
            "telephone_number": "309-691-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616167754",
            "telephone_number": "309-691-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPETT",
        "first_name": "MADELINE",
        "middle_name": "KAREN",
        "credential": "MA, ATR, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "WOLFE",
            "middle_name": "KAREN",
            "prefix": "MS.",
            "credential": "MA, ATR, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine Linnette Tillman, MT
• Nupoor Tillu
• Nyunt Tin, MD
• Toni P Tindal, CRNA
• Katy Wayne Tinsman
• Steven R Tippett, PT
• Mary Tisdale, CNM
• Jacqueline Jones Toal
• Kirby Thomas Tobin, DO
• Joseph Sam Tocco, R.PH.

• All providers in Peoria, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.