Individual provider Active NPI

Linda A Nowack, LCPC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1922308956
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007636 Issued in IL
Practice address
901 N 1St St Ste 225
Springfield, IL 62702-3760
Phone
(217) 788-4065
Fax
(217) 788-4147
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 180007636 IL Primary

Addresses

Primary practice location

901 N 1St St Ste 225
Springfield, IL 62702-3760

Mailing address

PO Box 3428
Springfield, IL 62708-3428
Phone (217) 525-1064

Other names 1

  • Linda A Birnbaum Former name

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
I20240104003171 IL Practitioner - Mental Health Counselor 7113378035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 N 8TH St
Springfield, IL 62702-6324
Phone (217) 525-1064

901 N 1St St
Suite 225
Springfield, IL 62702-3760
Phone (217) 788-4065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180007636ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Current Accepting new patients
Mental Health Centers of Central Illinois Professional CurrentSince Jan 1, 2024 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Mental Health Centers of Central Illinois CurrentSince Jan 1, 2024 Accepting new patients

Locations

515 N College St
Lincoln, IL 62656
Phone (217) 732-9681

3225 Hedley Rd
Springfield, IL 62711
Phone (217) 726-6700

901 N 1st St
Ste 225
Springfield, IL 62702
Phone (217) 523-2217

Interoperability endpoints

  • Direct secure messaging: lindanowack@sfc.allscriptsdirect.net
  • Direct secure messaging: lindanowack@memorial.allscriptsdirect.net

Organizations & group practices 4

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1922308956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627083428",
            "telephone_number": "217-525-1064",
            "fax_number": "217-525-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N 1ST ST STE 225",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023760",
            "telephone_number": "217-788-4065",
            "fax_number": "217-788-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWACK",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BIRNBAUM",
            "middle_name": "A",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.