Maureen Hall

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3235 Vollmer Rd Ste 119
Flossmoor, IL 60422-2040

Phone

(708) 914-2005

Fax

(708) 914-2008

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Premier Treatment & Counseling Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Flossmoor, IL
  • NPI 1639910920

  Rehabilitation, Substance Use Disorder

  NPD Authorized official
• Premier Treatment & Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flossmoor, IL
  • NPI 1720852593

  Counselor

  NPD Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1174069488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 VOLLMER RD STE 119",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222040",
            "telephone_number": "708-914-2005",
            "fax_number": "708-914-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 VOLLMER RD STE 119",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222040",
            "telephone_number": "708-914-2005",
            "fax_number": "708-914-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Gruchalski, NP-C
• John A. Grund, D.D.S.
• James Samuel Habib, M.D.
• Lisa Michelle Haglund, LCSW
• Charlene Hall
• Elizabeth Kelly Hanno, O.D.
• Rachel Diane Harden-Maddox, LCPC, CADC
• Keshaun Necole Harding, FNP-BC
• Jennifer Booth Hardy, PHARM.D.
• Quiana M Hardy

• All providers in Flossmoor, IL
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.