Individual provider Active NPI

Caroline Manyika Willoughby

  • Mental Health Counselor
  • McHenry, IL
National Provider Identifier
1386506541
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.022290 Issued in IL
Practice address
5435 Bull Valley Rd Ste 206
McHenry, IL 60050-7435
Phone
(847) 596-7281
NPI assigned
Nov 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 178.022290 IL Primary
Social Worker 104100000X 150.106116 IL

Addresses

Primary practice location

5435 Bull Valley Rd Ste 206
McHenry, IL 60050-7435

Mailing address

10632 S Eberhart Ave
Chicago, IL 60628-2954
Phone (773) 426-2768

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
178.022290ILMDMental Health Counselor
150.106116ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Partnership LTD CurrentSince Nov 30, 2025 Accepting new patients

Locations

5435 Bull Valley Rd
Ste 206
McHenry, IL 60050
Phone (815) 575-8181

Organizations & group practices 1

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": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1386506541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 S EBERHART AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282954",
            "telephone_number": "773-426-2768",
            "fax_number": "773-426-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD STE 206",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507435",
            "telephone_number": "847-596-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANYIKA WILLOUGHBY",
        "first_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.022290",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.106116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.