Individual provider Active NPI

Linda R Whitler, LCPC

  • Professional Counselor
  • Champaign, IL
National Provider Identifier
1386808343
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.004632 Issued in IL
Practice address
405 S State St
Champaign, IL 61820-5129
Phone
(217) 352-0099
Fax
(217) 352-9512
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.004632 IL Primary

Addresses

Primary practice location

405 S State St
Champaign, IL 61820-5129

Mailing address

405 S State St
Champaign, IL 61820-5129
Phone (217) 352-0099

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
180.004632ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1386808343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S STATE ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205129",
            "telephone_number": "217-352-0099",
            "fax_number": "217-352-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S STATE ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205129",
            "telephone_number": "217-352-0099",
            "fax_number": "217-352-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLER",
        "first_name": "LINDA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.004632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.