Individual provider Active NPI

Lindsay Mathews

  • Professional Counselor
  • Bourbonnais, IL
National Provider Identifier
1780342501
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013174 Issued in IL
Practice address
370 Barrington Dr
Bourbonnais, IL 60914-1676
Phone
(815) 370-2963
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 180.013174 IL Primary

Addresses

Primary practice location

370 Barrington Dr
Bourbonnais, IL 60914-1676

Mailing address

370 Barrington Dr
Bourbonnais, IL 60914-1676
Phone (815) 370-2963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.013174ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince May 15, 2024 Accepting new patients
Riverside Health System CurrentSince May 15, 2024 Accepting new patients

Locations

400 S Kennedy Dr
Ste 300
Bradley, IL 60915
Phone (815) 935-8040

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Organizations & group practices 2

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1780342501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BARRINGTON DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141676",
            "telephone_number": "815-370-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BARRINGTON DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141676",
            "telephone_number": "815-370-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "LINDSAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.