Individual provider Active NPI

Todd Everett Funk, LCPC

  • Professional Counselor
  • Hoffman Estates, IL
National Provider Identifier
1699886879
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-004740 Issued in IL
Practice address
3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253
Phone
(224) 595-6739
Fax
(224) 595-6739
NPI assigned
Aug 31, 2006
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-004740 IL Primary

Addresses

Primary practice location

3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253

Mailing address

3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253
Phone (224) 595-6739

Other practice location 1

124 N Harrison St
Barrington, IL 60010
Phone (847) 381-7618

Other identifiers 1

IdentifierTypeStateIssuer
01636432OtherILBCBS ID NUMBER

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

LicenseStateTypeSpecialty
180-004740ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence L. Kerns, M.D. & Associates 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1699886879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W HIGGINS RD STE 195",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697253",
            "telephone_number": "224-595-6739",
            "fax_number": "224-595-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W HIGGINS RD STE 195",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697253",
            "telephone_number": "224-595-6739",
            "fax_number": "224-595-6739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "60010",
            "country_code": "US",
            "telephone_number": "847-381-7618",
            "fax_number": "847-381-9198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK",
        "first_name": "TODD",
        "middle_name": "EVERETT",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "01636432",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.