Individual provider Active NPI

Joan Myra Ferdinand, L.C.P.C.

  • Professional Counselor
  • Wilmette, IL
National Provider Identifier
1811976277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
400 Linden Ave Ste 11
Wilmette, IL 60091-3607
Phone
(847) 256-8476
Fax
(847) 256-8482
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

400 Linden Ave Ste 11
Wilmette, IL 60091-3607

Mailing address

522 4TH St
Wilmette, IL 60091-2829
Phone (847) 256-8476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501001425 IL Practitioner - Mental Health Counselor 2567802051 Practice locations: Wilmette, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1616 Sheridan Rd
Unit 2D
Wilmette, IL 60091-1884
Phone (847) 256-8478

1816 Sheridan Rd
Suite 2D
Wilmette, IL 60091-1884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811976277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 4TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912829",
            "telephone_number": "847-256-8476",
            "fax_number": "847-256-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LINDEN AVE STE 11",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913607",
            "telephone_number": "847-256-8476",
            "fax_number": "847-256-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "JOAN",
        "middle_name": "MYRA",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.