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Mallory R Hippler , COUNSELOR

Counselor - Professional β€’ Normal, IL

Active NPI 1063765303 Individual Practitioner Female Practitioner
Practice location in NPPES

2200 Fort Jesse Rd
Normal, IL 617616286

Call 3096616290 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2200 Fort Jesse Rd

Normal, IL 617616286

Telephone 3096616290
Fax 3094511354
Organization at the Same NPPES Address or Phone
Bloomington Radiology S C Facility NPI 1700831773

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

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: NPI first issued

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, β€œDoes 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 Normal and Illinois

41 active clinicians are listed under Counselor - Professional with a practice address in Normal, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Normal

4.9% of these 41 clinicians have the CMS telehealth indicator.

12.2% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180.009500
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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
Jennifer Berkley , APN

Nurse Practitioner - Family

NPI 1295088391

Advanced Practice Nurse

Adam Brown , FNP

Nurse Practitioner - Family

NPI 1245953371

Family Nurse Practitioner

Bethani Christianson

Nurse Practitioner - Family

NPI 1003278581
Lindsay Connor

Nurse Practitioner

NPI 1245688209
Jay Dietrich , APN, NP-C

Nurse Practitioner - Family

NPI 1225629447

Advanced Practice Nurse, Nurse Practitioner (Certified)

Sydney Gilmer , FNP-C

Nurse Practitioner - Family

NPI 1366218893

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 10, 2017

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

πŸ“
Updated Business Mailing Address May 10, 2017

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

πŸ‘€
Provider Name / Credentials Updated May 10, 2017

Recorded as MALLORY HIPPLER, COUNSELOR

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

Counselor (license number reported to NPPES: IL 180.009500)

βœ…
NPI Profile Active October 24, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 24, 2012

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

πŸ“
Business Mailing Address (Initial Record) October 24, 2012

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

πŸ‘€
Provider Name / Credentials (Initial Record) October 24, 2012

Recorded as MALLORY HIPPLER, COUNSELOR

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

Counselor (license number reported to NPPES: IL 178007989)

🟒
Initial NPI Registration & Enumeration October 24, 2012

First registered as active Individual Practitioner in NPPES Database.

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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

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.