Individual provider Active NPI

Maureen L McClelland, LCPC

  • Professional Counselor
  • Oak Lawn, IL
National Provider Identifier
1043855646
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
10735 S Cicero Ave Ste 208
Oak Lawn, IL 60453-6214
Phone
(708) 424-0001
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

10735 S Cicero Ave Ste 208
Oak Lawn, IL 60453-6214

Mailing address

9220 S Hoyne Ave
Chicago, IL 60643-6303
Phone (773) 505-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 27, 2024 through Mar 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services - Oak Lawn LTD CurrentSince Nov 10, 2019 Accepting new patients
Center for Psychological Services,LTD PastSince Nov 10, 2019 Accepting new patients

Locations

10735 S Cicero Ave
Ste 208
Oak Lawn, IL 60453
Phone (708) 424-0001

Organizations & group practices 2

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1043855646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 S HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436303",
            "telephone_number": "773-505-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE STE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536214",
            "telephone_number": "708-424-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "MAUREEN",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.