Individual provider Active NPI

Daniel Applegate, LCPC

  • Mental Health Counselor
  • Champaign, IL
National Provider Identifier
1467870337
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180010921 Issued in IL
Practice address
4 O Connor CT
Champaign, IL 61821-5521
Phone
(217) 402-7071
NPI assigned
Mar 28, 2014
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180010921 IL Primary
Professional Counselor 101YP2500X 178.009838 IL

Addresses

Primary practice location

4 O Connor CT
Champaign, IL 61821-5521

Mailing address

4 O Connor CT
Champaign, IL 61821-5521
Phone (217) 402-4071

Other practice location 1

819 Bloomington Rd
Champaign, IL 61820-2101
Phone (217) 356-1558

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.009838ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Counseling Current Accepting new patients

Organizations & group practices 3

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1467870337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 O CONNOR CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215521",
            "telephone_number": "217-402-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 O CONNOR CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215521",
            "telephone_number": "217-402-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 Bloomington Rd",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618202101",
            "country_code": "US",
            "telephone_number": "217-356-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "DANIEL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010921",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.009838",
            "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 Jan 11, 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.

Verify at the official NPI Registry.