Individual provider Active NPI

Molly Kathleen Maffeo, LPC

  • Mental Health Counselor
  • Oak Brook, IL
National Provider Identifier
1346804358
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.014869 Issued in IL
Practice address
2210 Midwest Rd Ste 213
Oak Brook, IL 60523-8204
Phone
(630) 828-8120
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.014869 IL Primary

Addresses

Primary practice location

2210 Midwest Rd Ste 213
Oak Brook, IL 60523-8204

Mailing address

14 Sonoma Dr
Romeoville, IL 60446-5176
Phone (331) 980-8067

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
I20240822004265 IL Practitioner - Mental Health Counselor 7911446802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 W 22ND St
Suite 305
Lombard, IL 60148-7048
Phone (708) 640-1862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.014869ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Grace Counseling LLC Mental Health CurrentSince May 21, 2024 Accepting new patients
Ethos Counseling Group, Limited PastSince Jan 10, 2017 Accepting new patients

Locations

55 W 22nd St
Ste 305
Lombard, IL 60148
Phone (708) 302-9113

Organizations & group practices 2

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1346804358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SONOMA DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465176",
            "telephone_number": "331-980-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MIDWEST RD STE 213",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238204",
            "telephone_number": "630-828-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFFEO",
        "first_name": "MOLLY",
        "middle_name": "KATHLEEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.