Individual provider Active NPI

Mary Remon, LMHC,CEAP

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1215471552
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5368 Issued in FL
Practice address
333 Skokie Blvd Ste 108
Northbrook, IL 60062-1623
Phone
(847) 450-6393
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5368 FL Primary

Addresses

Primary practice location

333 Skokie Blvd Ste 108
Northbrook, IL 60062-1623

Mailing address

333 Skokie Blvd Ste 108
Northbrook, IL 60062-1623
Phone (305) 705-5389

Other practice location 1

1444 Biscayne Blvd
Suite 208-31
Miami, FL 33132-1430
Phone (305) 705-5389

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
MH5368FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Here & Now Counseling LLC. Mental Health CurrentSince Jul 25, 2021 Accepting new patients
Kessler Life Systems, LLC Past Accepting new patients

Locations

333 Skokie Blvd
Ste 108
Northbrook, IL 60062
Phone (847) 450-0404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1215471552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 108",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621623",
            "telephone_number": "305-705-5389",
            "fax_number": "832-514-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 108",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621623",
            "telephone_number": "847-450-6393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 Biscayne Blvd",
            "address_2": "Suite 208-31",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331321430",
            "country_code": "US",
            "telephone_number": "305-705-5389",
            "fax_number": "832-514-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMON",
        "first_name": "MARY",
        "credential": "LMHC,CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.