Individual Healthcare Provider
Mindy Kirkton, LCSW
Provider's NPPES record last updated: September 10, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1306171525
- Primary Specialty
- Counselor — Addiction (Substance Use Disorder)
- Practice Location
- Champaign, Illinois
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 5:11 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400X
Provider-Reported License Information
- Counselor (Illinois)
- 149030878
Practice Locations
Practice Location
1813 W Kirby Ave
Champaign, Illinois 61821-5410
Phone: (217) 383-6039
Additional Practice Location
3248 Vandever Ave
Pekin, Illinois 61554-6257
Phone: (309) 347-5579
Fax: (309) 347-4264
Additional Practice Location
528 County Road 1400 E
Tolono, Illinois 61880-9716
Phone: (217) 840-0063
Record Information
- Enumeration Date
- October 6, 2009
- Provider's NPPES Record Last Updated
- September 10, 2026
- Certification Date
- September 10, 2026
- NPISignal NPPES Dataset
- August 2026
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