The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Algonquin and Illinois

7 active clinicians are listed under Counselor with a practice address in Algonquin, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-05

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 178.019845

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events

📍

Updated Practice Location February 05, 2024

Registered at 1190 E ALGONQUIN RD, ALGONQUIN, IL 601023084 (Tel: 2243570540)

📍

Updated Business Mailing Address February 05, 2024

Registered at 1190 E ALGONQUIN RD, ALGONQUIN, IL 601023084 (Tel: 2243570540)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Counselor (license number reported to NPPES: IL 178.019845)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2022

Counselor (license number reported to NPPES: MI 6451019656)

✅

NPI Profile Active March 10, 2022

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) March 10, 2022

Registered at 1514 WEALTHY ST SE STE 256, GRAND RAPIDS, MI 495062755 (Tel: 6167801284)

📍

Business Mailing Address (Initial Record) March 10, 2022

Registered at 1514 WEALTHY ST SE STE 256, GRAND RAPIDS, MI 495062755 (Tel: 6167801284)

👤

Provider Name / Credentials (Initial Record) March 10, 2022

Recorded as MATTLYN EDGECOMBE, MA LLPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2022

Counselor (license number reported to NPPES: MI 6451019656)

🟢

Initial NPI Registration & Enumeration March 10, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174271092

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 10, 2022

Last Update: February 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1190 E Algonquin Rd

Algonquin, IL 601023084

Phone: 2243570540

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.