Active NPI
Deanna Morelli, LCPC
- Professional Counselor
- Mahomet, IL
National Provider Identifier
1396153284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180011607
- Practice address
- 1002 Commercial Dr Ste 2
Mahomet, IL 61853-8538 - Phone
- (217) 590-4178
- Fax
- (217) 501-4322
- NPI assigned
- Jul 24, 2014
- 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 | 180011607 | IL | Primary |
Addresses
Primary practice location
1002 Commercial Dr Ste 2
Mahomet, IL 61853-8538
Mailing address
201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Phone (217) 722-9079
Other practice location 1
201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Phone (217) 722-9079
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 |
|---|---|---|---|
| 180011607 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McNicholl Counseling, P.C. | Current | Accepting new patients |
Locations
1612 Patton Dr
Mahomet, IL 61853
Phone (217) 590-4178
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Champaign, IL
- NPI 1669774535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1396153284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W SPRINGFIELD AVE STE 1201",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618206385",
"telephone_number": "217-722-9079",
"fax_number": "217-501-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 COMMERCIAL DR STE 2",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618538538",
"telephone_number": "217-590-4178",
"fax_number": "217-501-4322"
}
],
"practiceLocations": [
{
"address_1": "201 W Springfield Ave Ste 1201",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618206385",
"country_code": "US",
"telephone_number": "217-722-9079",
"fax_number": "217-501-4322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORELLI",
"first_name": "DEANNA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180011607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahomet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.