Individual provider Active NPI

Melanie Elise Dillon, L.C.P.C.

  • Professional Counselor
  • Mundelein, IL
National Provider Identifier
1215037031
Registry record updated Nov 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-000335 Issued in IL
Practice address
697 S Lake St
Mundelein, IL 60060-3658
Phone
(847) 406-0789
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

755 Diamond Lake Rd Unit
Suite 203
Mundelein, IL 60060-3551

PO Box
Suite 5541
Vernon Hills, IL 60061

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Institute of Neurological Discovery, LLC Past Accepting new patients
Entourage Clinical Services, Inc Professional Past Accepting new patients
Entourage Clinical Services, Inc Professional Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-000335 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

697 S Lake St
Mundelein, IL 60060-3658

Mailing address

37 Burnett Ave
Lake Villa, IL 60046-8670
Phone (847) 393-5646

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1538567870OtherILNPPES
1215037031OtherILNPPES

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2016.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1215037031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BURNETT AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468670",
            "telephone_number": "847-393-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 S LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603658",
            "telephone_number": "847-406-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MELANIE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-000335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1538567870",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1215037031",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.