Individual provider Active NPI

Melissa Mondschain, MS LCPC

  • Professional Counselor
  • Northbrook, IL
National Provider Identifier
1023308889
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1800008390 Issued in IL
Practice address
950 Skokie Blvd
Suite #304
Northbrook, IL 60062
Phone
(847) 275-1137
NPI assigned
Apr 13, 2011
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178006420 IL
Professional Counselor 101YP2500X 1800008390 IL Primary

Addresses

Primary practice location

950 Skokie Blvd
Suite #304
Northbrook, IL 60062

Mailing address

113 McHenry Rd # 109
Buffalo Grove, IL 60089-1796
Phone (847) 275-1137

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178006420ILMDMental Health Counselor
1800008390ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Mondschain PLLC Professional CurrentSince Sep 20, 2022 Accepting new patients

Locations

113 McHenry Rd
Buffalo Grove, IL 60089
Phone (201) 355-9240

950 Skokie Blvd
Ste 304
Northbrook, IL 60062
Phone (847) 275-1137

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1023308889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MCHENRY RD # 109",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891796",
            "telephone_number": "847-275-1137",
            "fax_number": "847-600-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SKOKIE BLVD",
            "address_2": "SUITE #304",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-275-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDSCHAIN",
        "first_name": "MELISSA",
        "credential": "MS LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178006420",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "1800008390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.