Individual provider Active NPI

Emily E Sevcik, PHD, LCPC, LPMT

  • Professional Counselor
  • Macomb, IL
National Provider Identifier
1598083412
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016470 Issued in IL
Practice address
1341 Parkview Dr
Macomb, IL 61455-1254
Phone
(309) 461-4035
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 114.15 IL
Professional Counselor 101YP2500X 180.016470 IL Primary

Addresses

Primary practice location

1341 Parkview Dr
Macomb, IL 61455-1254

Mailing address

1341 Parkview Dr
Macomb, IL 61455-1254
Phone (309) 912-1884

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180.016470ILMDProfessional Counselor
114.15ILMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1598083412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 PARKVIEW DR",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551254",
            "telephone_number": "309-912-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 PARKVIEW DR",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551254",
            "telephone_number": "309-461-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVCIK",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "PHD, LCPC, LPMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "IL",
            "license": "114.15",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

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