Individual provider Active NPI

Cindy L Lam, ED.M.

  • Professional Counselor
  • Champaign, IL
National Provider Identifier
1396822276
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008035 Issued in IL
Practice address
1813 W Kirby Ave
Champaign, IL 61821-5410
Phone
(217) 383-6039
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180008035 IL Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

1813 W Kirby Ave
Champaign, IL 61821-5410

Mailing address

611 W Park St
Fapc
Urbana, IL 61801-2500

Other practice location 1

323 W Mulberry St
Watseka, IL 60970-1568
Phone (815) 432-5241

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240503001067 IL Practitioner - Mental Health Counselor 4284074576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1813 W Kirby Ave
Suite 110
Champaign, IL 61821-5410
Phone (217) 383-1850

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Healthcare NFP CurrentSince Mar 23, 2024 Accepting new patients
Promise Healthcare NFP CurrentSince Mar 23, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince May 6, 2024 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince May 6, 2024 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince May 6, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients

Locations

1813 W Kirby Ave
Champaign, IL 61821
Phone (217) 383-1850

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1002 S Race St
Urbana, IL 61801
Phone (217) 239-4220

Interoperability endpoints

  • Direct secure messaging: cindy.lam.p11@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1396822276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W KIRBY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215410",
            "telephone_number": "217-383-6039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 W Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701568",
            "country_code": "US",
            "telephone_number": "815-432-5241",
            "fax_number": "815-432-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "CINDY",
        "middle_name": "L",
        "credential": "ED.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008035",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.