Active NPI
Robin Withrow, LCPC
- Professional Counselor
- Yorkville, IL
National Provider Identifier
1609923788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180005551
- Practice address
- 215 Hillcrest Ave Ste E
Yorkville, IL 60560-1366 - Phone
- (630) 707-6029
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180005551 | IL | Primary |
Addresses
Primary practice location
215 Hillcrest Ave Ste E
Yorkville, IL 60560-1366
Mailing address
1905 Marketview Dr # 193
Yorkville, IL 60560-1896
Phone (630) 707-6029
Other practice location 1
477 E Butterfield Rd Ste 310
Lombard, IL 60148-4880
Phone (630) 707-6029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2220936 | Other | IL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180005551 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Professional | Past | Accepting new patients |
| Edward Health Ventures | Past | Accepting new patients | |
| Edward Health Ventures | Past | Accepting new patients |
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1609923788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 MARKETVIEW DR # 193",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601896",
"telephone_number": "630-707-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HILLCREST AVE STE E",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601366",
"telephone_number": "630-707-6029"
}
],
"practiceLocations": [
{
"address_1": "477 E Butterfield Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601484880",
"country_code": "US",
"telephone_number": "630-707-6029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITHROW",
"first_name": "ROBIN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180005551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2220936",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yorkville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.