Active NPI
Michael S Goetter, LCPC
- Professional Counselor
- Bloomingdale, IL
National Provider Identifier
1780135491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008570
- Practice address
- One Tiffany Pointe
Suite 110
Bloomingdale, IL 60108-2915 - Phone
- (630) 924-1160
- NPI assigned
- Oct 18, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.008570 | IL | Primary |
Addresses
Primary practice location
One Tiffany Pointe
Suite 110
Bloomingdale, IL 60108-2915
Mailing address
5973 Department
Carol Stream, IL 60122-5973
Phone (773) 368-8055
Other practice location 1
10 W Main St Ste 201C
Cary, IL 60013-2868
Phone (773) 368-8055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180.008570 | 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 |
|---|---|---|---|
| 180.008570 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Psychiatry & Counseling, SC. | 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.
-
- Psychiatry Physician
- Bloomingdale, IL
- NPI 1669563789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1780135491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5973 DEPARTMENT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601225973",
"telephone_number": "773-368-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE TIFFANY POINTE",
"address_2": "SUITE 110",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082915",
"telephone_number": "630-924-1160"
}
],
"practiceLocations": [
{
"address_1": "10 W Main St Ste 201C",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "IL",
"postal_code": "600132868",
"country_code": "US",
"telephone_number": "773-368-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOETTER",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-18",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "180.008570",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.