Active NPI
Andrew Peter Novinska, LCPC
- Mental Health Counselor
- Normal, IL
National Provider Identifier
1619276243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.004180
- Practice address
- 1100 Beech St
Normandy Village #7
Normal, IL 61761-1493 - Phone
- (309) 660-2900
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.004180 | IL | Primary |
Addresses
Primary practice location
1100 Beech St
Normandy Village #7
Normal, IL 61761-1493
Mailing address
1100 Beech Street
Normandy Village, Suite #7
Normal, IL 61761
Phone (309) 660-2900
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 |
|---|---|---|---|
| 180.004180 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andy Novinska, LCPC, PLLC | Mental Health | Current | Accepting new patients |
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": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1619276243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BEECH STREET",
"address_2": "NORMANDY VILLAGE, SUITE #7",
"city": "NORMAL",
"state": "IL",
"postal_code": "61761",
"telephone_number": "309-660-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BEECH ST",
"address_2": "NORMANDY VILLAGE #7",
"city": "NORMAL",
"state": "IL",
"postal_code": "617611493",
"telephone_number": "309-660-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVINSKA",
"first_name": "ANDREW",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.004180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.