Individual provider Active NPI

Phillip Hallinger, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1356860993
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180009812 Issued in IL
Practice address
1542 W Devon Ave
Chicago, IL 60660-1344
Phone
(773) 465-4600
NPI assigned
Sep 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180009812 IL Primary
Professional Counselor 101YP2500X 180009812 IL

Addresses

Primary practice location

1542 W Devon Ave
Chicago, IL 60660-1344

Mailing address

2650 W Logan Blvd BSMT
Chicago, IL 60647-1830
Phone (773) 742-1713

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
I20240207001846 IL Practitioner - Mental Health Counselor 0547603599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

9730 S Western Ave
Suite 230
Evergreen Park, IL 60805-2760
Phone (708) 734-9131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180009812ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Dec 15, 2025 Accepting new patients

Locations

1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

9730 S Western Ave
Ste 206
Evergreen Park, IL 60805
Phone (708) 475-0622

9730 S Western Ave
Ste 230
Evergreen Pk, IL 60805
Phone (708) 422-4944

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • Direct secure messaging: phillip.hallinger.1@23300.direct.athenahealth.com

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1356860993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W LOGAN BLVD BSMT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471830",
            "telephone_number": "773-742-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601344",
            "telephone_number": "773-465-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLINGER",
        "first_name": "PHILLIP",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009812",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.