MR. MICHAEL MCDONALD (NPI# 1710171277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710171277 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL MCDONALD |
| Credential | MHP |
| Practice Address |
401 W Springfield Ave Champaign IL 61820-4716 |
| Mailing Address |
615 W John St Champaign IL 61820-5850 |
| Practice Telephone | 2173928464 |
| Mailing Telephone | 7733926497 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
M23554081086 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588107726 | Michael A Mcdonald Jr. | Speech-Language Pathologist | 12004 144th St, Jamaica, NY 11436-1507 | 2016-11-20 |
| 1205186509 | Michael Mcdonald | Registered Nurse | 306 W North St, Enterprise, OR 97828-1041 | 2012-09-13 |
| 1255696712 | Michael Mcdonald | Specialist | 17 Marshall St, Massapequa, NY 11758-5437 | 2012-07-11 |
| 1801166137 | Michael Mcdonald | Contractor | 6713 Newington Rd, Lorton, VA 22079-1112 | 2012-01-03 |
| 1760703755 | Michael Mcdonald | Marriage & Family Therapist | 3175 Sunset Blvd Ste 107d, Rocklin, CA 95677-3091 | 2010-06-14 |
| 1669610507 | Michael Andrew Mcdonald | Pharmacist | 11405 Dunmaglas Dr, Bath, MI 48808-9303 | 2009-01-30 |
| 1366628372 | Michael G Mcdonald | Physical Therapist | 3112 Sharps St, Fort Collins, CO 80526-2523 | 2008-01-21 |
| 1053472472 | Michael John Mcdonald | General Practice | 810 Haiku Road, Suite 150, Haiku, HI 96708 | 2006-12-12 |
| 1265517734 | Michael J.h. Mcdonald | Dentist | 1430 Tara Hills Dr, Suite B, Pinole, CA 94564-2580 | 2006-10-25 |
| 1073561338 | Michael J Mcdonald | Nurse Anesthetist, Certified Registered | 942 Ranch Bluff Rd, Villa Ridge, MO 63089-1478 | 2006-05-05 |
| Street Address |
401 W SPRINGFIELD AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609914092 | Sara L Perkins | Rehabilitation Counselor | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2007-02-01 |
| 1710584669 | Matthew Finn | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2020-10-05 |
| 1881207397 | Rachel Kaufman | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2020-08-25 |
| 1235786914 | Ashley Lynn Mills | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2019-08-19 |
| 1851946081 | Cody Blanchard | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2019-08-05 |
| 1336701713 | Paris N Weisman | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2019-07-05 |
| 1568023307 | Imani Mann | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2019-06-24 |
| 1073170676 | Kevin Martin Langowski | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2019-05-20 |
| 1982260246 | Alexis C Williams | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2019-05-13 |
| 1972015865 | Kara Lynn Cline | Social Worker | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726684 | Lauren England | Counselor | 201 W Springfield Ave Ste 1002, Champaign, IL 61820-4834 | 2020-06-29 |
| 1710514971 | Joy Tamberlin Henderson | Counselor | 4112 Fieldstone Rd Suite B, Champaign, IL 61820-6182 | 2020-03-26 |
| 1124588900 | Alicia Severins | Counselor | 3362 Big Pine Trl Ste A, Champaign, IL 61822-1409 | 2019-03-20 |
| 1558796888 | Julie Ann Cochrane | Counselor | 3505 Lakeshore Dr, Champaign, IL 61822-5201 | 2013-09-05 |
| 1487927372 | Carol J Claxon | Counselor | 810 Sedgegrass Dr, Champaign, IL 61822-2024 | 2012-02-23 |
| 1740571462 | Laura Nichole Pierceall | Counselor | 502 West Market Street, Champaign, IL 61820 | 2011-04-28 |
| 1174836704 | Catherine E Morgan Look | Counselor | 1701 Sheridan Rd, Champaign, IL 61821-4810 | 2010-07-25 |
| 1851627293 | Lisa M. Billman | Counselor | 202 W. Park St, Champaign, IL 61820 | 2009-10-20 |
| 1407034853 | Kara M. Morgan | Counselor | 1401 W Green St, Champaign, IL 61821-3822 | 2008-02-07 |
| 1740467877 | Heidi M Mcgill | Counselor | 2919 Crossing Court, Suite 6, Champaign, IL 61822 | 2008-01-31 |
| Find all providers in CHAMPAIGN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.