Individual provider Active NPI

Theodora Alexandra Winter, MSED, LPC, NCC

  • Professional Counselor
  • Quincy, IL
National Provider Identifier
1467148551
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.019002 Issued in IL
Practice address
822 State St # 9
Quincy, IL 62301-4961
Phone
(217) 231-1413
Fax
(217) 919-9401
NPI assigned
Apr 12, 2023
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 178.019002 IL Primary

Addresses

Primary practice location

822 State St # 9
Quincy, IL 62301-4961

Mailing address

1618 North Ave
Quincy, IL 62301-1451
Phone (217) 242-9786

Other names 1

  • Paige Alexandra Wellman Former name

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
178.019002ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Family Counseling, LLC Professional Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1467148551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 NORTH AVE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011451",
            "telephone_number": "217-242-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 STATE ST # 9",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014961",
            "telephone_number": "217-231-1413",
            "fax_number": "217-919-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "THEODORA",
        "middle_name": "ALEXANDRA",
        "credential": "MSED, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "WELLMAN",
            "middle_name": "ALEXANDRA",
            "credential": "MSED, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.