Individual provider Active NPI

Edward Walter Senkpeil, M. A.

  • Mental Health Counselor
  • Buffalo Grove, IL
National Provider Identifier
1962526319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
318 W Half Day Rd PMB 284
Buffalo Grove, IL 60089-6547
Phone
(847) 821-9346
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

318 W Half Day Rd PMB 284
Buffalo Grove, IL 60089-6547

Mailing address

2214 Lotus Dr
Round Lake Heights, IL 60073-1170
Phone (847) 740-6908

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178-003385ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962526319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 LOTUS DR",
            "city": "ROUND LAKE HEIGHTS",
            "state": "IL",
            "postal_code": "600731170",
            "telephone_number": "847-740-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W HALF DAY RD PMB 284",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896547",
            "telephone_number": "847-821-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENKPEIL",
        "first_name": "EDWARD",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "M. A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.