Christiana Marie Hopper, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008830 Issued in IL

Practice address

1942 E Cantrell St
Decatur, IL 62521-3214

Phone

(217) 433-6961

NPI assigned

Oct 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christiana Marie Fowler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moultrie County Mental Health Center

  • Community/Behavioral Health Agency
  • Sullivan, IL
  • NPI 1811025240

  Professional

  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1578990842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-433-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-433-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IL",
            "postal_code": "619511907",
            "country_code": "US",
            "telephone_number": "217-728-4358",
            "fax_number": "217-728-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Underwood Ct",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625261983",
            "country_code": "US",
            "telephone_number": "217-233-6811 x3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "CHRISTIANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIANA",
            "last_name": "FOWLER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Decatur, IL
• Providers in Decatur, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.