1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Counselor
  6. NPI Profile

MADELINE KAREN TIPPETT MA, ATR, LPC
NPI 1386332575
Counselor - Professional in Peoria, IL

Active since April 26, 2023PECOS Enrolled
4211 N PROSPECT RD, PEORIA, IL 61616(309) 691-5502 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Karen Tippett Ma, Atr, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELINE KAREN TIPPETT MA, ATR, LPC (NPI 1386332575) is an individual professional provider in Peoria, Illinois, licensed in Illinois (178.016362) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1386332575
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMADELINE KAREN TIPPETTCredential: MA, ATR, LPC
Location Address4211 N PROSPECT RDPeoria, IL 61616-7754
Mailing Address4211 N Prospect RdPeoria, IL 61616-7754 · (309) 691-5502
Phone(309) 691-5502
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1386332575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.016362
4211 N PROSPECT RD, Peoria, IL 61616
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Madeline Karen Wolfe Ma, Atr, Lpc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Karen Tippett Ma, Atr, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810332756
PECOS Enrollment IDI20240229004005
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA SCHWAB, LLC
Counselor (Professional)
4211 N PROSPECT RD
PEORIA HEIGHTS, IL 61616
Peoria County (309) 691-5502
LISA M SCHWAB LCPC
Counselor (Professional)
4211 N PROSPECT RD
PEORIA HEIGHTS, IL 61616
Peoria County (309) 712-7996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Tippett's NPI number?

The NPI number for Madeline Tippett is 1386332575. It was assigned to this individual provider in the NPPES registry on April 26, 2023. The provider is also known as Ms. Madeline Karen Wolfe Ma, Atr, Lpc.

Where is Madeline Tippett located?

Madeline Tippett practices at 4211 N Prospect Rd, Peoria, IL 61616. The listed phone number is (309) 691-5502.

What is Madeline Tippett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Madeline Tippett enrolled in Medicare?

Yes. Madeline Tippett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeline Tippett was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.