Individual provider Active NPI

Anne Brennan Malec, PSYD, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1053648279
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000780 Issued in IL
Practice address
20 N Wacker Dr
Suite 1442
Chicago, IL 60606-2806
Phone
(312) 372-4745
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.000780 IL Primary

Addresses

Primary practice location

20 N Wacker Dr
Suite 1442
Chicago, IL 60606-2806

Mailing address

20 N Wacker Dr
Suite 1442
Chicago, IL 60606-2806
Phone (312) 372-4745

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
I20191216002164 IL Practitioner - Clinical Psychologist 8729380977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Symmetry Counseling LLCGroup PAC ID 8426318114, 3 clinicians

Practice addresses (Care Compare)

1 N la Salle St
Suite 1450
Chicago, IL 60602-4351
Phone (312) 578-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
166.000780ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Symmetry Counseling LLC Past Accepting new patients
Symmetry Counseling, LLC Past Accepting new patients
Symmetry Counseling, LLC Past Accepting new patients
Symmetry Counseling, LLC Past Accepting new patients
Symmetry Counseling LLC Marriage & Family Therapist Past Accepting new patients
Symmetry Counseling LLC Marriage & Family Therapist Past Accepting new patients
Symmetry Counseling LLC Marriage & Family Therapist Past Accepting new patients
Symmetry Counseling LLC Past Accepting new patients
Symmetry Counseling, LLC Past Accepting new patients
Symmetry Counseling LLC Past Accepting new patients

Organizations & group practices 11

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1053648279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR",
            "address_2": "SUITE 1442",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062806",
            "telephone_number": "312-372-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR",
            "address_2": "SUITE 1442",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062806",
            "telephone_number": "312-372-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEC",
        "first_name": "ANNE",
        "middle_name": "BRENNAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.