Individual provider Active NPI

Andrew Ritchie, LCPC

  • Professional Counselor
  • Champaign, IL
National Provider Identifier
1497297220
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180012675 Issued in IL
Practice address
2005 N Prospect Ave # 1047
Champaign, IL 61822-1235
Phone
(815) 200-6874
NPI assigned
Nov 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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
Professional Counselor 101YP2500X 180012675 IL Primary

Addresses

Primary practice location

2005 N Prospect Ave # 1047
Champaign, IL 61822-1235

Mailing address

2005 N Prospect Ave # 1047
Champaign, IL 61822-1235
Phone (815) 200-6874

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
180012675ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Verdant Oak Counseling Services PLLC Current Accepting new patients

Locations

2005 N Prospect Ave
Champaign, IL 61822
Phone (618) 908-9850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1497297220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N PROSPECT AVE # 1047",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221235",
            "telephone_number": "815-200-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N PROSPECT AVE # 1047",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221235",
            "telephone_number": "815-200-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "ANDREW",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012675",
            "primary": true
        }
    ],
    "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 Nov 1, 2021; 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.