Paula Jean Tipton, LCPC
Individual provider Active NPI Professional Counselor · Hawthorn Woods, IL
NPI 1669599577 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669599577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 10 Executive Dr
Suite 105
Hawthorn Woods, IL 60047-7509 - Phone
- (847) 566-3136
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-003663 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sojourner Center for Counseling, Inc. | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Yes |
Addresses
Primary practice location
10 Executive Dr
Suite 105
Hawthorn Woods, IL 60047-7509
Mailing address
10 Executive Dr
Suite 105
Hawthorn Woods, IL 60047-7509
Phone (847) 566-3136
Other providers in Hawthorn Woods, IL
- Terry Solberg
- Stephen Rivera LTD
- Agnieszka Stryjecki
- Kathleen Taylor
- The Welch Practic
- Vanderbilt Family Chiropractic, LLC
- Brian Dale Vanderbilt
- Anil Vootkur
- Wauconda Family Dental PLLC
All providers in Hawthorn Woods, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.