Active NPI
Linda A Nowack, LCPC
- Professional Counselor
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007636
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180007636 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners | Current | Accepting new patients | |
| Mental Health Centers of Central Illinois | Professional | Current | Accepting new patients |
| Springfield Clinic LLP | Current | Accepting new patients | |
| Mental Health Centers of Central Illinois | Current | 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
- lindanowack@sfc.allscriptsdirect.net
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, IL
- NPI 1225008113
-
- Family Medicine Physician
- Springfield, IL
- NPI 1376034744
-
- Clinical Social Worker
- Springfield, IL
- NPI 1750614798
Professional
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.