MR. MICAH JR CALDWELL MS, LPCC, LCPC
NPI 1487994919
Counselor - Professional in Berwyn, IL

Q: What is Micah Caldwell's NPI number?

The NPI number for Micah Caldwell is 1487994919. It was assigned to this individual provider in the NPPES registry on February 20, 2013. The provider is also known as Micah J Russell Sac-It.

Q: What is Micah Caldwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Micah Caldwell was last updated on April 18, 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.

Active since February 20, 2013

3440 CLINTON AVE, BERWYN, IL 60402(708) 695-4841 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Micah Jr Caldwell Ms, Lpcc, Lcpc NPPES

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

MR. MICAH JR CALDWELL MS, LPCC, LCPC (NPI 1487994919) is an individual professional provider in Berwyn, Illinois, licensed in Illinois (180.013357) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1487994919

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. MICAH JR CALDWELLCredential: MS, LPCC, LCPC

Location Address3440 CLINTON AVEBerwyn, IL 60402-3322

Mailing Address7301 W 25th St # 130North Riverside, IL 60546-1409 · (708) 695-4841

Phone(708) 695-4841

Sole ProprietorNo

Enumeration DateFebruary 20, 2013

Last NPPES UpdateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1487994919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in IL · 180.013357✔ Licensed in CA · LPCC5913

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16627-130 (WI)

3440 CLINTON AVE, Berwyn, IL 60402

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Other Names 1

Former Name (1)Micah J Russell Sac-it

Other Providers at the Same Location NPPES

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

MICAH CALDWELL THERAPY PLLC

Clinic/Center (Adult Mental Health)

3440 CLINTON AVE
BERWYN, IL 60402

Cook County (708) 695-4841

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 Micah Caldwell's NPI number?

The NPI number for Micah Caldwell is 1487994919. It was assigned to this individual provider in the NPPES registry on February 20, 2013. The provider is also known as Micah J Russell Sac-It.

Where is Micah Caldwell located?

Micah Caldwell practices at 3440 Clinton Ave, Berwyn, IL 60402. The listed phone number is (708) 695-4841.

What is Micah Caldwell's specialty?

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

When was this NPI record last updated?

The NPPES record for Micah Caldwell was last updated on April 18, 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.