MADELINE KAREN TIPPETT MA ATR LPC NPI 1386332575

NPI Information

NPI: 1386332575
Provider Name: MADELINE KAREN TIPPETT, MA, ATR, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
4211 N PROSPECT RD
PEORIA, IL
ZIP 61616
Phone: (309) 691-5502
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Madeline Karen Tippett, MA, ATR, LPC is a professional counselor in Peoria, IL with 5 years of experience. Madeline Karen Tippett, MA, ATR, LPC NPI is 1386332575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4211 N PROSPECT RD
PEORIA, IL
ZIP 61616-754
Phone: (309) 691-5502

The NPI 1386332575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/26/2023 and was last updated on 4/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178.016362	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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