Individual provider Active NPI

Lisa Novinska, LCPC

  • Professional Counselor
  • Mahomet, IL
National Provider Identifier
1891965042
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001136 Issued in IL
Practice address
601 E Main St Ste 201
Mahomet, IL 61853-7461
Phone
(217) 803-0083
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 180001136 IL Primary

Addresses

Primary practice location

601 E Main St Ste 201
Mahomet, IL 61853-7461

Mailing address

19619 Highland Dr
Bloomington, IL 61705-5938
Phone (309) 826-0236

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

LicenseStateTypeSpecialty
180001136ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mindful Path Counseling Professional CurrentSince Jun 27, 2021 Accepting new patients

Locations

601 E Main St
Ste 201
Mahomet, IL 61853
Phone (217) 803-0083

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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1891965042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19619 HIGHLAND DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055938",
            "telephone_number": "309-826-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 201",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618537461",
            "telephone_number": "217-803-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINSKA",
        "first_name": "LISA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahomet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.