Individual provider Active NPI

Lena M Pinkston, LSW, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Decatur, IL
National Provider Identifier
1992486880
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
22346 Issued in IL
Practice address
420 E Central Ave
Decatur, IL 62521-1050
Phone
(217) 330-5676
Fax
(217) 330-9712
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.110865 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 22346 IL Primary

Addresses

Primary practice location

420 E Central Ave
Decatur, IL 62521-1050

Mailing address

420 E Central Ave
Decatur, IL 62521-1050
Phone (217) 330-5676

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

State licenses

LicenseStateTypeSpecialty
22346ILMDAddiction (Substance Use Disorder) Counselor
150.110865ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1992486880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E CENTRAL AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211050",
            "telephone_number": "217-330-5676",
            "fax_number": "217-330-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E CENTRAL AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211050",
            "telephone_number": "217-330-5676",
            "fax_number": "217-330-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "LENA",
        "middle_name": "M",
        "credential": "LSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.110865",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "22346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.