Individual provider Active NPI

Mary Claire Schibelka, LPC, MA

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1063166528
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.015849 Issued in IL
Practice address
30 N Michigan Ave Ste 1009
Chicago, IL 60602-3751
Phone
(312) 786-5500
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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 178.015849 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1009
Chicago, IL 60602-3751

Mailing address

30 N Michigan Ave Ste 1009
Chicago, IL 60602-3751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maryclaire@elevatedlifecounseling.com

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
I20240814002353 IL Practitioner - Mental Health Counselor 0042758658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3719 111 N Wabash Ave
Suite 100
Chicago, IL 60602
Phone 3126129644100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.015849ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Nine Counseling PLLC Professional CurrentSince Jun 4, 2024 Accepting new patients
Erinn Williams LCPC LLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

111 N Wabash Ave
Ste 100
Chicago, IL 60602
Phone (312) 219-1597

30 N Michigan Ave
Ste 1517
Chicago, IL 60602
Phone (312) 612-9644

30 N Michigan Ave
Ste 1009
Chicago, IL 60602
Phone (312) 786-5500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1063166528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023751",
            "telephone_number": "312-786-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIBELKA",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "credential": "LPC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryclaire@elevatedlifecounseling.com",
            "affiliation": "N",
            "address_1": "30 N Michigan Ave Ste 1009",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.