Organization Active NPI

Mars Vallon LCSW PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1215759329
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARS VALLON LCSW PLLC
Practice address
1509 W Berwyn Ave Ste 202
Chicago, IL 60640-8168
Phone
(872) 222-7182
NPI assigned
Oct 29, 2024
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mars Vallon, LCSWNPI 1841026044
Title
Owner
Phone
(312) 509-2283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1509 W Berwyn Ave Ste 202
Chicago, IL 60640-8168

Mailing address

1327 W Farwell Ave Apt 3
Chicago, IL 60626-3727

National Provider Directory

National Provider Directory

Locations

1509 W Berwyn Ave
Ste 202
Chicago, IL 60640
Phone (773) 234-3212

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1215759329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 W FARWELL AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W BERWYN AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408168",
            "telephone_number": "872-222-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARS VALLON LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "VALLON",
        "authorized_official_first_name": "MARS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-509-2283",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 23, 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.