Individual provider Active NPI

Ahlam H Malow, LPC, CADC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1194476440
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.015688 Issued in IL
Practice address
1980 N Milwaukee Ave Apt 421
Chicago, IL 60647-1789
Phone
(847) 903-3580
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 35784 IL
Professional Counselor 101YP2500X 178.015688 IL Primary

Addresses

Primary practice location

1980 N Milwaukee Ave Apt 421
Chicago, IL 60647-1789

Mailing address

2S031 Lexington CT
Warrenville, IL 60555-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35784ILMDAddiction (Substance Use Disorder) Counselor
178.015688ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Free Minded Counseling PLLC CurrentSince Jan 26, 2022 Accepting new patients

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1194476440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2S031 LEXINGTON CT",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605551227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N MILWAUKEE AVE APT 421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471789",
            "telephone_number": "847-903-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOW",
        "first_name": "AHLAM",
        "middle_name": "H",
        "credential": "LPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "35784",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.