Individual provider Active NPI

Molly R Mejia, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1366137010
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.007801 Issued in IL
Practice address
5097 N Elston Ave Ste 305
Chicago, IL 60630-2460
Phone
(773) 683-2781
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 178.007801 IL Primary

Addresses

Primary practice location

5097 N Elston Ave Ste 305
Chicago, IL 60630-2460

Mailing address

1587 Cove Dr
Prospect Heights, IL 60070-1910
Phone (224) 223-9817

Other practice location 1

1587 Cove Dr
Prospect Heights, IL 60070-1910
Phone (224) 223-9817

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
178.007801ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1366137010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 COVE DR",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701910",
            "telephone_number": "224-223-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 N ELSTON AVE STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302460",
            "telephone_number": "773-683-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1587 Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Prospect Heights",
            "state": "IL",
            "postal_code": "600701910",
            "country_code": "US",
            "telephone_number": "224-223-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "MOLLY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.007801",
            "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 Apr 11, 2023; 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.