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Active NPI 1063828176 Individual Practitioner Female Practitioner

Miriam S Mindeman , MA, LPC

Counselor • Canton, IL

Professional Overview & Biography Verified Profile Summary

Miriam Mindeman, MA, LPC is a registered healthcare professional specializing in Counselor in Canton, IL. Practice services are available at 229 MARTIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

229 Martin Ave

Canton, IL 615202520

Telephone 3096471881
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Canton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Canton, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 178.008716

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kara Simpson , LCSW

Social Worker - Clinical

NPI 1003417312

Licensed Clinical Social Worker

Laticia Georgie , LCSW

Social Worker - Clinical

NPI 1407393275

Licensed Clinical Social Worker

Jacey Downing , LCPC

Counselor - Professional

NPI 1578685954

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2014

Registered at 229 MARTIN AVE, CANTON, IL 615202520 (Tel: 3096471881)

📍
Updated Business Mailing Address July 09, 2014

Registered at 229 MARTIN AVE, CANTON, IL 61520 (Tel: 3096471881)

👤
Provider Name / Credentials Updated July 09, 2014

Recorded as MIRIAM MINDEMAN, M.A., L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2014

Counselor (License #178.008716 in IL)

🟢
Initial NPI Registration & Enumeration July 09, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063828176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2014
Last Update: July 09, 2014
Sole Proprietor: No

Mailing Address

229 Martin Ave

Canton, IL 61520

Phone: 3096471881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.