Active NPI
Mary D'Adam, LCPC, CADC
- Counselor
- Manhattan, IL
National Provider Identifier
1265830236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.014447
- Practice address
- 25047 S Blackthorne Rd
Manhattan, IL 60442-9189 - Phone
- (773) 627-6417
- NPI assigned
- Dec 8, 2014
- Last updated
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.014447 | IL | Primary |
Addresses
Primary practice location
25047 S Blackthorne Rd
Manhattan, IL 60442-9189
Mailing address
25047 S Blackthorne Rd
Manhattan, IL 60442-9189
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.014447 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots of Regulation Counseling LLC | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- lifestancehealth.marydadam@146897.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Manhattan, IL
- NPI 1467239749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1265830236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25047 S BLACKTHORNE RD",
"city": "MANHATTAN",
"state": "IL",
"postal_code": "604429189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25047 S BLACKTHORNE RD",
"city": "MANHATTAN",
"state": "IL",
"postal_code": "604429189",
"telephone_number": "773-627-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ADAM",
"first_name": "MARY",
"credential": "LCPC, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.014447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.