Mary Jean Selby, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004609 Issued in IL

Practice address

8 S Michigan Ave Ste 1500
Chicago, IL 60603-3362

Phone

(312) 630-9663

Fax

(773) 523-3718

NPI assigned

Mar 19, 2007

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jeane Selby Professional name

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1376667659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE STE 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033342",
            "telephone_number": "773-329-0995",
            "fax_number": "773-538-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE STE 1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033362",
            "telephone_number": "312-630-9663",
            "fax_number": "773-523-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004609",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANE",
            "last_name": "SELBY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marin Sekosan, M.D.
• Katarzyna Sekowska, DDS
• Nathalie Sela, MD
• David Selander, MD
• Emily Selby, DNP, APRN, ACCNS-AG
• Gabriel Ethan Seldess, LMFT, LPC
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Limited Partnership for Better Living
• Select Physical Therapy Limited Partnership for Better Living
• Select Physical Therapy of Chicago Inc

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.