Megan Marie Allcock, LMFT
Individual provider Active NPI Marriage & Family Therapist · Chicago, IL
NPI 1033970868 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1033970868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 166.001701 (IL)
- Practice address
- 1165 N Clark St Ste 411
Chicago, IL 60610-7473 - Phone
- (619) 933-6563
- NPI assigned
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001701 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Listening Lounge and Wellness Center PLLC | Current |
Accepting new patients | |
| Listening Lounge and Wellness Center PLLC | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001701 | IL | Yes |
Addresses
Primary practice location
1165 N Clark St Ste 411
Chicago, IL 60610-7473
Mailing address
1704 N Sedgwick St
Chicago, IL 60614-7242
Phone (619) 933-6563
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.