Madeline McDonnell, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.018563 Issued in IL

Practice address

1142 W Madison St Ste 302
Chicago, IL 60607-2191

Phone

(312) 324-4502

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pure Health Center, Inc

  • Professional Counselor
  • Chicago, IL
  • NPI 1821538752
  NPD (past)

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1134838261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N CANAL ST APT 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061504",
            "telephone_number": "612-408-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W MADISON ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072191",
            "telephone_number": "312-324-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "MADELINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.018563",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018563",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.018563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "178.018563",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madeline@purehealthcenter.com",
            "affiliation": "N",
            "address_1": "1142 W Madison St Ste 302",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606072191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan McDonell, LCSW
• Adair F McDonnell
• Jennifer Anne McDonnell, MD
• Kathryn Anne McDonnell, PA-C
• Kennedy Nicole McDonnell, PA
• Maeve Caitlin McDonnell, DO
• Michael McDonnell, M.D.
• Phillip C McDonnell, D.D.S.
• Erin Emily McDonough, RN, MS, APN
• Kathleen Brittney McDonough, MHS

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 Nov 17, 2022; 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.