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Deactivated NPI 1265707806 Deactivated / Inactive NPI Male Practitioner

Michael I Carlile , LCPC

Counselor • Mount Vernon, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Carlile has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 15, 2012
NPI Deactivation Date October 25, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

Michael Carlile, LCPC was a registered Counselor practicing in Mount Vernon, IL. Throughout an active medical career spanning 6 years, Michael Carlile provided care at the practice location at 16338 N. ILLINOIS HWY 37 until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

16338 N. Illinois Hwy 37

Mount Vernon, IL 62864

Telephone 6182421546
Fax 6182420957

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Mount Vernon, 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 180002362

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

5 Associated Practitioners
James Verges , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1073888624

Certified Alcohol and Drug Counselor

Julia Balsover

Counselor - Addiction (Substance Use Disorder)

NPI 1215209788
Wendel Arms

Counselor - Addiction (Substance Use Disorder)

NPI 1457861270
Lucinda Holdren , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1720352271

Certified Alcohol and Drug Counselor

Crystal Bollman

Counselor - Addiction (Substance Use Disorder)

NPI 1891205779

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active March 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 15, 2012

Registered at 16338 N. ILLINOIS HWY 37, MOUNT VERNON, IL 62864 (Tel: 6182421546)

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Updated Business Mailing Address March 15, 2012

Registered at 16338 N. ILLINOIS HWY. 37, MOUNT VERNON, IL 62864 (Tel: 6182421546)

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Provider Name / Credentials Updated March 15, 2012

Recorded as MICHAEL CARLILE, LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2012

Counselor (License #180002362 in IL)

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Initial NPI Registration & Enumeration March 15, 2012

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: 1265707806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2012
Last Update: March 15, 2012
Deactivation Date: October 25, 2018

Mailing Address

16338 N. Illinois Hwy. 37

Mount Vernon, IL 62864

Phone: 6182421546

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.