Beverly Joan Marinelli, MS LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-002684 Issued in IL

Practice address

4700 W 95TH St
Suite LL5
Oak Lawn, IL 60453-2533

Phone

(800) 216-1110

Fax

(708) 346-4868

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bev J Marinelli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1205958345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "address_2": "ADVOCATE FAMILY CARE NETWORK",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604540776",
            "telephone_number": "800-216-1110",
            "fax_number": "708-346-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE LL5",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "800-216-1110",
            "fax_number": "708-346-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINELLI",
        "first_name": "BEVERLY",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MS LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180-002684",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-002684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEV",
            "last_name": "MARINELLI",
            "middle_name": "J",
            "credential": "MS LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonja Marcic, MD
• Ahmad Mardini
• Thomas M. Mareing, D.DS
• Steven Campbell Marek, M.D.
• Maria Vivian L. Sanchez, M.D., S.C.
• Mark S. Reiter, M.D., S.C.
• Jenna Marlett
• Anne Marneris, RPH
• Mark Maroongroge, M.D.
• Rory James Marrello, D.C.

• Mental Health Counselor in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.