Individual provider Active NPI

Lindsay J Peachey, N.C.C.

  • Professional Counselor
  • Macomb, IL
National Provider Identifier
1598989204
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
516 E Jackson St
Macomb, IL 61455-2311
Phone
(309) 836-6500
Fax
(309) 836-6506
NPI assigned
Apr 12, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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 212936 IL
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

516 E Jackson St
Macomb, IL 61455-2311

Mailing address

1950 N Broad St
Galesburg, IL 61401-1449
Phone (309) 344-2381

Other identifiers 1

IdentifierTypeStateIssuer
212936OtherILNATIONAL CERT. COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002735 IL Practitioner - Mental Health Counselor 0143544874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crossroads Counseling and Life Coaching LLCGroup PAC ID 9436473162, 6 clinicians

Practice addresses (Care Compare)

575 N Kellogg St
Suite 4
Galesburg, IL 61401-7609
Phone (309) 343-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
212936ILMDMental Health Counselor
178.004809ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling and Life Coaching LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Counseling Perspectives, LLC Past Accepting new patients

Locations

575 N Kellogg St
Ste 4
Galesburg, IL 61401
Phone (309) 343-0800

Organizations & group practices 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1598989204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 N BROAD ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011449",
            "telephone_number": "309-344-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552311",
            "telephone_number": "309-836-6500",
            "fax_number": "309-836-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACHEY",
        "first_name": "LINDSAY",
        "middle_name": "J",
        "credential": "N.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "212936",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERT. COUNSELOR",
            "identifier": "212936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.