Mary Ellen Fleming, RN,MA LPC QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.008617 Issued in IL

Practice address

4001 W Dayton St
McHenry, IL 60050-8377

Phone

(815) 759-7058

Fax

(815) 759-7298

NPI assigned

May 15, 2013

Last updated

May 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1093151250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 THOMPSON RD",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979456",
            "telephone_number": "815-814-2054",
            "fax_number": "815-759-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DAYTON ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508377",
            "telephone_number": "815-759-7058",
            "fax_number": "815-759-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "RN,MA LPC QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.008617",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.229014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362480845",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Fisher
• Theresa Christina Fisher, M.S. CCC-SLP/L
• Allie Madison Fishman
• Haile E Fitzgerald, DNP, CRNA, APRN
• Michael J. Flaherty, M.D.
• Diane J. Flicek, MA, QIDP
• Margarita Fliman, MD
• Shatara Flowers
• Rebecca Floyd, M.S., CCC-SLP/L
• Benjamin Jeffery Foerster, PA-C

• Mental Health Counselor in McHenry, IL
• Providers in McHenry, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.