Individual provider Active NPI

Erin Michelle Mooney-Simkus, LCPC. ATR-BC

  • Professional Counselor
  • La Grange Park, IL
National Provider Identifier
1003115460
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007492 Issued in IL
Practice address
1224 Robinhood LN
La Grange Park, IL 60526-5313
Phone
(773) 919-3746
NPI assigned
Mar 23, 2011
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.007492 IL
Professional Counselor 101YP2500X 180.007492 IL Primary
Art Therapist 221700000X 08-230 IL

Addresses

Primary practice location

1224 Robinhood LN
La Grange Park, IL 60526-5313

Mailing address

1224 Robinhood LN
La Grange Park, IL 60526-5313
Phone (773) 919-3746

Other practice location 1

522 W Chestnut St Ste 2A
Hinsdale, IL 60521-3173
Phone (773) 217-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.007492ILMDProfessional Counselor
08-230ILMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Create Balance Counseling, PLLC Professional CurrentSince Nov 9, 2021 Accepting new patients

Locations

522 W Chestnut St
Ste 2A
Hinsdale, IL 60521
Phone (630) 323-4468

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1003115460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 ROBINHOOD LN",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265313",
            "telephone_number": "773-919-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 ROBINHOOD LN",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265313",
            "telephone_number": "773-919-3746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Chestnut St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213173",
            "country_code": "US",
            "telephone_number": "773-217-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONEY-SIMKUS",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "credential": "LCPC. ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.007492",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007492",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "IL",
            "license": "08-230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.