Active NPI
Joan Myra Ferdinand, L.C.P.C.
- Professional Counselor
- Wilmette, IL
National Provider Identifier
1811976277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.