Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063765303 Individual Practitioner Female Practitioner

Mallory R Hippler , COUNSELOR

Counselor - Professional • Normal, IL

Professional Overview & Biography Verified Profile Summary

Mallory Hippler, COUNSELOR is a registered healthcare professional specializing in Counselor - Professional in Normal, IL. Practice services are available at 2200 FORT JESSE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Fort Jesse Rd

Normal, IL 617616286

Telephone 3096616290
Fax 3094511354
Associated Practice Facility / Clinic
🏢 Bloomington Radiology S C Facility NPI 1700831773

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Normal, IL (9683 Statewide)

Telehealth Adoption Rate
4.9% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.009500

Definition to come...

Practice Associates & Co-Workers

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

20 Associated Practitioners
Bethani Christianson

Nurse Practitioner - Family

NPI 1003278581
Jessica Johann

Nurse Practitioner

NPI 1083962500
Susan Rausch

Family Medicine

NPI 1093807885
NPI 1144266065

Doctor of Medicine (M.D.)

Misty Parker , LCSW

Social Worker - Clinical

NPI 1154034734

Licensed Clinical Social Worker

Jay Dietrich , APN, NP-C

Nurse Practitioner - Family

NPI 1225629447

Advanced Practice Nurse, Nurse Practitioner (Certified)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2017

Registered at 2200 FORT JESSE RD, NORMAL, IL 617616286 (Tel: 3096616290)

📍
Updated Business Mailing Address May 10, 2017

Registered at 2200 FORT JESSE RD, NORMAL, IL 617616286 (Tel: 3096616290)

👤
Provider Name / Credentials Updated May 10, 2017

Recorded as MALLORY HIPPLER, COUNSELOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Counselor (License #180.009500 in IL)

NPI Profile Active October 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2012

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

📍
Updated Business Mailing Address October 24, 2012

Registered at 2960 CHARTRES ST, LA SALLE, IL 613011097 (Tel: 8152241610)

👤
Provider Name / Credentials Updated October 24, 2012

Recorded as MALLORY HIPPLER, COUNSELOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2012

Counselor (License #178007989 in IL)

🟢
Initial NPI Registration & Enumeration October 24, 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: 1063765303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2012
Last Update: May 10, 2017
Sole Proprietor: No

Mailing Address

2200 Fort Jesse Rd

Normal, IL 617616286

Phone: 3096616290

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.