Mary Kate Clucas, LCPC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARY KATE CLUCAS, LCPC LLC

Practice address

3824 N Greenview Ave Apt 2
Chicago, IL 60613-7046

Phone

(630) 207-0103

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Mary Kate Carey, LCPC

Title

Owner

Phone

(630) 207-0103

Specialties & licenses 1

Addresses

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kate Clucas, LPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1700307428
  NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1306449731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 N GREENVIEW AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606137046",
            "telephone_number": "630-207-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 N GREENVIEW AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606137046",
            "telephone_number": "630-207-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KATE CLUCAS, LCPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-207-0103",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mk@mkclucas.com",
            "affiliation": "N",
            "address_1": "3824 N Greenview Ave Apt 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606137046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mk@mkclucas.com",
            "affiliation": "N",
            "address_1": "3824 N Greenview Ave Apt 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606137046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.