Mfbstudio Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MFBSTUDIO INC

Doing business as

MFB Therapy

Practice address

475 W 55TH St Ste 108
Countryside, IL 60525-3565

Phone

(708) 688-9171

NPI assigned

Jan 16, 2025

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary France Bazan, LCPCNPI 1225761182

Title

Owner/ LCPC Provider

Phone

(708) 688-9171

Specialties & licenses 1

Addresses

Other names 1

• MFB Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary France Bazan, LCPC

  • Professional Counselor
  • Countryside, IL
  • NPI 1225761182
  NPD Authorized official

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1205647419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385307",
            "telephone_number": "773-710-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W 55TH ST STE 108",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253565",
            "telephone_number": "708-688-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFBSTUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BAZAN",
        "authorized_official_first_name": "MARY FRANCE",
        "authorized_official_title_or_position": "OWNER/ LCPC PROVIDER",
        "authorized_official_telephone_number": "708-688-9171",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MFB Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Terese McCombs, OTR/L
• Kelly McKay
• Daniela J McMillen
• Karla C D McNamara
• Angela Mendoza, BA
• Maureen Michalski, MPT, DPT
• Midwest Family Physicians LTD
• Midwest Operating Engineers Health and Welfare Trust Fund
• Nicholas I Miles
• Marcy Minshall, LCSW

• Professional Counselor in Countryside, IL
• Providers in Countryside, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.