MADELINE KAREN TIPPETT (MA, ATR, LPC) – Professional Counselor, NPI 1386332575

MADELINE KAREN TIPPETT (MA, ATR, LPC) is a healthcare provider. based in Peoria, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, ATR, LPC. They hold a License No. 178.016362 (IL). The NPI Number for MADELINE KAREN TIPPETT (MA, ATR, LPC) is 1386332575

Main info

Female
7 Years Of Experience
Name
MADELINE KAREN TIPPETT (MA, ATR, LPC)
NPI
1386332575
Phone
(309) 691-5502
Address
4211 N PROSPECT RD
Enumeration Date
26 April 2023
Last Update Date
26 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096915502
Graduation Year
2019 (7 years ago)
PAC ID
7810332756
Group Practice PAC ID
1850688557
Professional Enrollment ID
I20240229004005
Address ID
IL616167754PE4211XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MADELINE KAREN TIPPETT (MA, ATR, LPC)

  • 4211 N PROSPECT RD

    PEORIA, IL 616167754

    Phone: (309) 691-5502

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240229004005IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61616)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850688557View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
-IL

Reviews

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Frequently asked questions

Can I verify MADELINE KAREN TIPPETT (MA, ATR, LPC) with an NPI only?
You can start verification with NPI 1386332575 for MADELINE KAREN TIPPETT (MA, ATR, LPC), then check state licensing separately.
Can I rely on MADELINE KAREN TIPPETT (MA, ATR, LPC) being an active provider?
As of the registry snapshot, MADELINE KAREN TIPPETT (MA, ATR, LPC) is marked active.
What is MADELINE KAREN TIPPETT (MA, ATR, LPC)'s primary classification?
Professional Counselor is the headline specialty for MADELINE KAREN TIPPETT (MA, ATR, LPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for MADELINE KAREN TIPPETT (MA, ATR, LPC)?
MADELINE KAREN TIPPETT (MA, ATR, LPC)'s geographic hint is Peoria, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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