Individual provider Active NPI

Nancy E Mulso, LCPC

  • Professional Counselor
  • Elk Grove Village, IL
National Provider Identifier
1124280938
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180002744 Issued in IL
Practice address
626 Ironwood Dr
Elk Grove Village, IL 60007-1722
Phone
(847) 364-7974
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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 180002744 IL Primary

Addresses

Primary practice location

626 Ironwood Dr
Elk Grove Village, IL 60007-1722

Mailing address

626 Ironwood Dr
Elk Grove Village, IL 60007-1722
Phone (847) 364-7974

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
I20240126002406 IL Practitioner - Mental Health Counselor 3971966599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mulso Associates Counseling LTDGroup PAC ID 7517320138, 3 clinicians

Practice addresses (Care Compare)

2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1244
Phone (847) 344-8047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mulso Associates Counseling, LTD CurrentSince Jan 1, 2023 Accepting new patients

Locations

2625 Butterfield Rd
Oak Brook, IL 60523
Phone (630) 528-3835

2625 Butterfield Rd
Ste 138S
Oak Brook, IL 60523
Phone (630) 290-2246

Organizations & group practices 1

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1124280938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 IRONWOOD DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071722",
            "telephone_number": "847-364-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 IRONWOOD DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071722",
            "telephone_number": "847-364-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULSO",
        "first_name": "NANCY",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.