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: November 01, 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
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

Other Names 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Madeline Tippett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Professional
4211 N PROSPECT RD
Peoria Heights, IL 61616
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Professional)
4211 N PROSPECT RD
PEORIA HEIGHTS, IL 61616
Counselor (Professional)
4211 N PROSPECT RD
PEORIA HEIGHTS, IL 61616

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.

Which organization bills Medicare for Madeline Tippett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Tippett reassigns Medicare benefits to Lisa Schwab, LLC (Peoria Heights, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Tippett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.