Individual provider Active NPI

Macie Anna Scholes, LPC

  • Professional Counselor
  • Highland, IL
National Provider Identifier
1225786643
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.017354 Issued in IL
Practice address
2113 Easy St
Highland, IL 62249-2311
Phone
(618) 367-5417
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.017354 IL Primary

Addresses

Primary practice location

2113 Easy St
Highland, IL 62249-2311

Mailing address

2113 Easy St
Highland, IL 62249-2311
Phone (618) 367-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220003334 IL Practitioner - Mental Health Counselor 8123548146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

901 N 10TH St
Mascoutah, IL 62258-1017
Phone (618) 566-2183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.017354ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

901 N 10th St
Mascoutah, IL 62258
Phone (618) 556-2183

3450 Oakton St
Ste 300
Skokie, IL 60076

393 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-4111

Organizations & group practices 1

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1225786643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 EASY ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492311",
            "telephone_number": "618-367-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 EASY ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492311",
            "telephone_number": "618-367-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLES",
        "first_name": "MACIE",
        "middle_name": "ANNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

Verify at the official NPI Registry.