Active NPI
Barry Ufheil, LCPC
- Counselor
- Morton, IL
National Provider Identifier
1649893942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180012905
- Practice address
- 75 E Queenwood Rd
Morton, IL 61550-2985 - Phone
- (309) 263-5565
- Fax
- (309) 263-9336
- NPI assigned
- May 20, 2020
- Sex
- Male
- 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 | 180012905 | IL | Primary |
Addresses
Primary practice location
75 E Queenwood Rd
Morton, IL 61550-2985
Mailing address
75 E Queenwood Rd
Morton, IL 61550-2985
Phone (309) 263-5565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180012905 | Other | IL | LICENSE |
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 |
|---|---|---|---|
| 180012905 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Counseling, LTD | Counselor | Past | 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": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1649893942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 E QUEENWOOD RD",
"city": "MORTON",
"state": "IL",
"postal_code": "615502985",
"telephone_number": "309-263-5565",
"fax_number": "309-263-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E QUEENWOOD RD",
"city": "MORTON",
"state": "IL",
"postal_code": "615502985",
"telephone_number": "309-263-5565",
"fax_number": "309-263-9336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UFHEIL",
"first_name": "BARRY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180012905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "180012905",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.