Individual provider Active NPI

Linda Marie Cherry, L.C.P.C.

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1982726733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001967 Issued in IL
Practice address
7150 N University St
Suite E
Peoria, IL 61614-1752
Phone
(309) 690-3339
Fax
(309) 690-3339
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

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
Professional Counselor 101YP2500X 180001967 IL Primary

Addresses

Primary practice location

7150 N University St
Suite E
Peoria, IL 61614-1752

Mailing address

1121 Sunset Dr
East Peoria, IL 61611-1167
Phone (309) 698-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2024 through Jan 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180001967ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Family Therapy PLLC Professional PastSince Nov 9, 2021 Accepting new patients

Organizations & group practices 1

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982726733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 SUNSET DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111167",
            "telephone_number": "309-698-8441",
            "fax_number": "309-690-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 N UNIVERSITY ST",
            "address_2": "SUITE E",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141752",
            "telephone_number": "309-690-3339",
            "fax_number": "309-690-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.