Lyndsey Michelle Wideman, MA,LCPC
NPI 1487287835ActiveIndividual· Counselor, Professional· Carbondale, IL
Counselor, Professional (MA,LCPC) with Centerstone of Illinois Inc, practicing in Carbondale, Illinois. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1487287835 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA,LCPC |
| Sole proprietor | No |
| NPI issued | Feb 13, 2020 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 180.015448 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Centerstone of Illinois IncAlton, IL · 45 clinicians
Other professional counselors in Carbondale
- 1144209909
- 1356214084
- 1891601134
- 1154965416
- 1295147445
- 1457330367
- 1528239043
- 1619544681
- 1922281054
- 1952761835
- 1053059949
- 1366584906
All 42 professional counselors in Carbondale · All professional counselors in Illinois