Individual provider Active NPI

Priscilla Tanishia Huley, LCPC

  • Professional Counselor
  • Highland, IN
National Provider Identifier
1184239386
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014220 Issued in IL
Practice address
9445 Indianapolis Blvd # 1212
Highland, IN 46322-2648
Phone
(708) 227-4080
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004253A IN
Professional Counselor 101YP2500X 180014220 IL Primary

Addresses

Primary practice location

9445 Indianapolis Blvd # 1212
Highland, IN 46322-2648

Mailing address

1409 N Glenwood Ave Apt 0E
Griffith, IN 46319-1964
Phone (708) 227-7098

Other identifiers 1

IdentifierTypeStateIssuer
39004253AOtherINMENTAL HEALTH COUNSELOR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241009002564 IL Practitioner - Mental Health Counselor 2264963628 Reassigns benefits to 1 organization
I20250318000863 IN Practitioner - Mental Health Counselor 2264963628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39004253AINMDMental Health Counselor
180014220ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Sep 10, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Mar 6, 2025 Accepting new patients
Wholistically Therapeutic LLC Professional PastSince Sep 1, 2020 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7750 S South Shore Dr
Chicago, IL 60649
Phone (773) 731-4200

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

Organizations & group practices 3

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1184239386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N GLENWOOD AVE APT 0E",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191964",
            "telephone_number": "708-227-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 INDIANAPOLIS BLVD # 1212",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222648",
            "telephone_number": "708-227-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULEY",
        "first_name": "PRISCILLA",
        "middle_name": "TANISHIA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004253A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR LICENSE",
            "identifier": "39004253A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.