McKenzie Mieszkowski, LCPC, CADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.014596 Issued in IL

Practice address

40 N Broadway St
Coal City, IL 60416-1688

Phone

(224) 335-7413

NPI assigned

Dec 16, 2022

Last updated

Dec 16, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Medic Counseling PLLC

  • Professional Counselor
  • Joliet, IL
  • NPI 1689421273
  NPD Authorized official

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1396457735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 EDGERTON DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353761",
            "telephone_number": "815-630-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N BROADWAY ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161688",
            "telephone_number": "224-335-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESZKOWSKI",
        "first_name": "MCKENZIE",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "36109",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Marsaglia
• Kassandra Lynn Marsala
• Shannon Masters
• Jonathan Edward Micetich, O.D.
• Juli Weber Micetich, D.C.
• Amber Megan Mitchell
• Monica Molesky
• Makayla Mulcahy, LCPC
• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
• Abigail Rene Norris

• Mental Health Counselor in Coal City, IL
• Providers in Coal City, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.