NPIMap

Michelle Lucille Stroheker, LCPC, CADC

Individual provider Active NPI Mental Health Counselor · Gillespie, IL

NPI 1720522808 · NPPES record last updated Dec 8, 2016

Key facts

NPI
1720522808
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
180010160 (IL)
Practice address
109 E Maple St
Gillespie, IL 62033-1473
Phone
(217) 839-1526
Fax
(217) 839-1538
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180010160ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ardavis & Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.stroheker.1@20684.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20684/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 180010160 IL
Mental Health Counselor 101YM0800X 180010160 IL Yes
Marriage & Family Therapist 106H00000X 180010160 IL

Addresses

Primary practice location

109 E Maple St
Gillespie, IL 62033-1473

Mailing address

109 E Maple St
Gillespie, IL 62033-1473
Phone (217) 839-1526

Other identifiers

IdentifierTypeStateIssuer
376001351007MedicaidIL

Other names

  • Michelle Lucille Skotzke Former name

Other providers in Gillespie, IL

All providers in Gillespie, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.