Individual provider Active NPI

Maryellen McSherry, LCPC

  • Social Worker
  • Oak Forest, IL
National Provider Identifier
1285643999
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
180-004220 Issued in IL
Practice address
5320 159TH St Ste 402-1
Oak Forest, IL 60452-4705
Phone
(708) 307-6534
NPI assigned
Aug 5, 2006
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180004220 IL
Social Worker 104100000X 180-004220 IL Primary

Addresses

Primary practice location

5320 159TH St Ste 402-1
Oak Forest, IL 60452-4705

Mailing address

5320 159TH St Ste 402-1
Oak Forest, IL 60452-4705
Phone (708) 307-6534

Other names 1

  • Maryellen Taglia / Crowley Former name

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
I20251027004494 IL Practitioner - Mental Health Counselor 0749468528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5320 159TH St
Suite 402 1
Oak Forest, IL 60452-3380

5320 159TH St
Suite 402 1
Oak Forest, IL 60452-4705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180004220ILMDProfessional Counselor
180-004220ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Confidential Crisis Consultation Inc Professional CurrentSince Sep 7, 2007 Accepting new patients

Locations

5320 159th St
Ste 4021
Oak Forest, IL 60452
Phone (708) 307-6534

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1285643999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 402-1",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-307-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 402-1",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-307-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHERRY",
        "first_name": "MARYELLEN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004220",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "180-004220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYELLEN",
            "last_name": "TAGLIA / CROWLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Forest, IL

Sources for this page

Verify at the official NPI Registry.