Michael Wathen, MA, LCPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011043 Issued in IL

Practice address

210 N Hammes Ave
Joliet, IL 60435-6680

Phone

(815) 322-1070

NPI assigned

Mar 31, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Joliet Center for Clinical Research, Inc

  • Psychiatry Physician
  • Joliet, IL
  • NPI 1760647226

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1831517630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S CEDAR RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512207",
            "telephone_number": "309-287-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356680",
            "telephone_number": "815-322-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATHEN",
        "first_name": "MICHAEL",
        "credential": "MA, LCPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ward
• Jonathan Warren, MD
• Briana Washington
• Marina Leticia Washington
• Michael L Waszak, M.D.
• Kathryn Watland, LCSW
• Ways to Wellness M.D., Inc.
• WCS Occupational Rehabilitation and Sports Medicine, Inc.
• Lisa Marie Weberski I, M.S.
• Danielle Marie Weck

• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.