Active NPI
Emily Panich
- Counselor
- Washington, IL
National Provider Identifier
1649512203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 24363 Spring Creek Rd Ste H
Washington, IL 61571-9654 - Phone
- (309) 204-9881
- Fax
- (217) 773-2425
- NPI assigned
- Mar 21, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
24363 Spring Creek Rd Ste H
Washington, IL 61571-9654
Mailing address
24363 Spring Creek Rd Ste H
Washington, IL 61571-9654
Phone (309) 204-9881
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1649512203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24363 SPRING CREEK RD STE H",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719654",
"telephone_number": "309-204-9881",
"fax_number": "217-773-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24363 SPRING CREEK RD STE H",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719654",
"telephone_number": "309-204-9881",
"fax_number": "217-773-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANICH",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, IL
- Oncology Hematology Associates of Central Illinois (Illinois CancerCare, pc)
- One Counseling and Wellness
- Osf Healthcare System (OSF Healthcare Home Medical Equipment)
- Osf Multi-Specialty Group (OSF OnCall Urgent Care)
- Dusan Duke Pandzic, HID
- Patricia Duckwiler, LCSW Therapy and Counseling Services
- Shelley Marie Patterson, MSW, LSW
- Renee Ann Patton, PHD LCPC
- Thomas Payne-Brewer, LCPC
- Rebecca Payne, M.A., L.C.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.