Individual provider Active NPI

Lindsay Keisman, LCPC

  • Professional Counselor
  • Woodstock, IL
National Provider Identifier
1912298134
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008410 Issued in IL
Practice address
525 W Jackson St
Woodstock, IL 60098-3143
Phone
(815) 236-3272
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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 180008410 IL Primary

Addresses

Primary practice location

525 W Jackson St
Woodstock, IL 60098-3143

Mailing address

525 W Jackson St
Woodstock, IL 60098-3143
Phone (815) 236-3272

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
I20240301000222 IL Practitioner - Mental Health Counselor 6406123009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Woodstock Therapist LLCGroup PAC ID 6507133105, 4 clinicians

Practice addresses (Care Compare)

224 W Judd St
Suite 7
Woodstock, IL 60098-3199
Phone (815) 345-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180008410ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstock Therapist LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Woodstock Therapist LLC Professional PastSince Mar 26, 2023 Accepting new patients

Locations

665 Tollgate Rd
Ste B
Elgin, IL 60123
Phone (815) 345-3400

1301 Pyott Rd
Ste 101
Lk in the Hls, IL 60156
Phone (815) 345-3400

224 W Judd St
Ste 7
Woodstock, IL 60098
Phone (815) 345-3400

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1912298134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W JACKSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983143",
            "telephone_number": "815-236-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W JACKSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983143",
            "telephone_number": "815-236-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISMAN",
        "first_name": "LINDSAY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.