Individual provider Active NPI

Mary Ryan McChesney, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1295278760
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180012233 Issued in IL
Practice address
1440 N Kingsbury St Ste 219
Chicago, IL 60642-2690
Phone
(404) 625-6222
NPI assigned
Nov 30, 2016
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178012467 IL
Mental Health Counselor 101YM0800X 180012233 IL Primary

Addresses

Primary practice location

1440 N Kingsbury St Ste 219
Chicago, IL 60642-2690

Mailing address

1800 W Roscoe St
534
Chicago, IL 60657-1049
Phone (404) 625-6222

Other practice location 1

2115 N Damen Ave
Chicago, IL 60647-4528
Phone (404) 625-6222

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
178012467ILMDCounselor
180012233ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health in Tandem, PLLC Mental Health Past Accepting new patients

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1295278760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W ROSCOE ST",
            "address_2": "534",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571049",
            "telephone_number": "404-625-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N KINGSBURY ST STE 219",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422690",
            "telephone_number": "404-625-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 N Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606474528",
            "country_code": "US",
            "telephone_number": "404-625-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCHESNEY",
        "first_name": "MARY",
        "middle_name": "RYAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178012467",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012233",
            "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 Jul 16, 2019; 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.