Individual provider Active NPI

Malak Hamdan

  • Professional Counselor
  • Downers Grove, IL
National Provider Identifier
1043924285
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3020 Woodcreek Dr Ste A2
Downers Grove, IL 60515-5416
Phone
(630) 797-9807
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 Primary

Addresses

Primary practice location

3020 Woodcreek Dr Ste A2
Downers Grove, IL 60515-5416

Mailing address

15132 Ginger Creek LN
Orland Park, IL 60467-7300
Phone (708) 717-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409004733 IL Practitioner - Mental Health Counselor 0345686531 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Catchers Counseling PC CurrentSince Jan 14, 2024 Accepting new patients
Just & Equitable Counseling PC Professional CurrentSince Apr 1, 2025 Accepting new patients
R & B Counseling Corporation NFP CurrentSince Jan 14, 2024 Accepting new patients

Locations

3020 Woodcreek Dr
Ste A2
Downers Grove, IL 60515
Phone (630) 504-8550

Organizations & group practices 3

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1043924285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15132 GINGER CREEK LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677300",
            "telephone_number": "708-717-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WOODCREEK DR STE A2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155416",
            "telephone_number": "630-797-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "MALAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.