Individual provider Active NPI

Linda Jean Feuquay, NCACI ICACII

  • Addiction (Substance Use Disorder) Counselor
  • Monticello, IN
National Provider Identifier
1447345889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
18539 Issued in IN
Practice address
207 N. Bluff St.
Monticello, IN 47960
Phone
(574) 583-9350
Fax
(574) 583-7997
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18539 IN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X A685R IN

Addresses

Primary practice location

207 N. Bluff St.
Monticello, IN 47960

Mailing address

5609 S. High Street
Winamac, IN 46996
Phone (574) 595-7329

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
18539INMDAddiction (Substance Use Disorder) Counselor
A685RINMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447345889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 S. HIGH STREET",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "46996",
            "telephone_number": "574-595-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N. BLUFF ST.",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "47960",
            "telephone_number": "574-583-9350",
            "fax_number": "574-583-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUQUAY",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "credential": "NCACI  ICACII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "18539",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "A685R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.