Individual provider Active NPI

Marylu Halperin, RN, LCPC

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1023433489
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009006 Issued in IL
Practice address
1033 University PL
Evanston, IL 60201-3196
Phone
(847) 650-5201
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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 180009006 IL
Professional Counselor 101YP2500X 180.009006 IL Primary

Addresses

Primary practice location

1033 University PL
Evanston, IL 60201-3196

Mailing address

572 Muskegan CT
Vernon Hills, IL 60061-3418
Phone (847) 650-5201

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
180009006ILMDMental Health Counselor
180.009006ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Research Consulting Inc. Professional Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1023433489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 MUSKEGAN CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613418",
            "telephone_number": "847-650-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 UNIVERSITY PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013196",
            "telephone_number": "847-650-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERIN",
        "first_name": "MARYLU",
        "credential": "RN, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009006",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.