Active NPI
Cindy L Lam, ED.M.
- Professional Counselor
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | 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
- 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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.