Individual provider Active NPI

Cherity D Machnick, LCPC

  • Professional Counselor
  • Burbank, IL
National Provider Identifier
1295809085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5635 State Rd
Burbank, IL 60459-2051
Phone
(708) 424-9200
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

5635 State Rd
Burbank, IL 60459-2051

Mailing address

9040 Forest Dr
Hickory Hills, IL 60457-1028
Phone (708) 839-1904

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
I20240823002995 IL Practitioner - Mental Health Counselor 3072052851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-005869ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stickney Public Health District CurrentSince Jun 13, 2024 Accepting new patients

Locations

5635 State Rd
Burbank, IL 60459
Phone (708) 237-8918

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295809085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 FOREST DR",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571028",
            "telephone_number": "708-839-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 STATE RD",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592051",
            "telephone_number": "708-424-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHNICK",
        "first_name": "CHERITY",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.