Individual provider Active NPI

Maryann Cook, M.A., L.C.P.C.

  • Professional Counselor
  • Channahon, IL
National Provider Identifier
1184899387
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006876 Issued in IL
Practice address
23157 S Thomas Dillon Dr
Channahon, IL 60410-3132
Phone
(815) 467-8181
Fax
(818) 828-5696
NPI assigned
Apr 28, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 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 180006876 IL Primary

Addresses

Primary practice location

23157 S Thomas Dillon Dr
Channahon, IL 60410-3132

Mailing address

22959 S Frances Way
Channahon, IL 60410-3102
Phone (815) 258-1642

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
I20240304003684 IL Practitioner - Mental Health Counselor 2567807241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Counseling and Coaching of Illinois LLCGroup PAC ID 5496093213, 19 clinicians

Practice addresses (Care Compare)

25224 W Eames St
Suite D
Channahon, IL 60410-5256
Phone (815) 467-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling & Coaching of Illinois, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Alliance Counseling & Coaching Professional Past Accepting new patients

Locations

25224 W Eames St
Channahon, IL 60410
Phone (815) 467-8181

25224 W Eames St
Ste D
Channahon, IL 60410
Phone (815) 467-8181

455 W Southmor Rd
Morris, IL 60450
Phone (630) 372-6599

326 Alana Dr
New Lenox, IL 60451
Phone (815) 467-8181

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1184899387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22959 S FRANCES WAY",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604103102",
            "telephone_number": "815-258-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23157 S THOMAS DILLON DR",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604103132",
            "telephone_number": "815-467-8181",
            "fax_number": "818-828-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MARYANN",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Channahon, IL

Sources for this page

Verify at the official NPI Registry.