Organization Active NPI

Mulso Associates Counseling, LTD

  • Mental Health Counselor
  • Oak Brook, IL
National Provider Identifier
1003359340
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180002744 Issued in IL
Legal business name
MULSO ASSOCIATES COUNSELING, LTD
Practice address
2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234
Phone
(847) 338-6101
Fax
(847) 364-7974
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Nancy E Mulso, LCPCNPI 1124280938
Title
President
Phone
(847) 338-6101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180002744 IL Primary

Addresses

Primary practice location

2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234

Mailing address

2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234
Phone (847) 338-6101

Other identifiers 1

IdentifierTypeStateIssuer
325466306001MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230830001897 IL Part B Supplier - Clinic/Group Practice 7517320138 Receives reassigned benefits from 5 practitioners
Practice locations: Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

2625 Butterfield Rd
Ste 138S
Oak Brook, IL 60523
Phone (630) 290-2246

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1003359340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "SUITE 138S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "847-338-6101",
            "fax_number": "847-364-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "SUITE 138S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "847-338-6101",
            "fax_number": "847-364-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULSO ASSOCIATES COUNSELING, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MULSO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-338-6101",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180002744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325466306001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.