Michael William Elgersma, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180011882 Issued in IL

Practice address

1500 E Lincoln Hwy Ste 1
Dekalb, IL 60115-3990

Phone

(779) 702-5646

NPI assigned

Apr 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michaelelgersma@tdh.allscriptsdirect.net

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.

• Elgersma Counseling Services PLLC

  • Mental Health Counselor
  • Sugar Grove, IL
  • NPI 1417611799
  NPD Authorized official
• Michael W Elgersma

  • Mental Health Counselor
  • Sugar Grove, IL
  • NPI 1710658844
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Life Solutions: Integrative Healing & Well Being LLC

  • Mental Health Counselor
  • Dekalb, IL
  • NPI 1720462799
  NPD (past)

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1972946028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "630-377-6613",
            "fax_number": "630-377-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "779-702-5646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605482178",
            "country_code": "US",
            "telephone_number": "815-786-8606",
            "fax_number": "815-786-1541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Lincoln Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601153990",
            "country_code": "US",
            "telephone_number": "630-377-6613",
            "fax_number": "630-377-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELGERSMA",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011882",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178008775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Earle
• Jay Roser Ebbesen, OD
• Katie Eich, APN, FNP-BC
• Elderly Care Services of Dekalb County
• Corissa Janelle Elgar, M.D.
• Elgin Laboratory Physicians, LTD.
• Amy Beth Elliott, RPH
• Stephanie Knight Englund, LSW, CADC
• Angela Robin Erickson
• Karyn N Erkfritz-Gay, PH.D.

• Mental Health Counselor in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.