Active NPI
Melanie McCummiskey
- Professional Counselor
- Aurora, IL
National Provider Identifier
1407597776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178017942
- Practice address
- 75 Executive Dr Ste 337
Aurora, IL 60504-8152 - Phone
- (314) 442-6183
- NPI assigned
- Apr 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178017942 | IL | Primary |
Addresses
Primary practice location
75 Executive Dr Ste 337
Aurora, IL 60504-8152
Mailing address
1123 N Prairie View Dr
Kankakee, IL 60901-7398
Phone (815) 278-0575
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178017942 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1407597776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 N PRAIRIE VIEW DR",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609017398",
"telephone_number": "815-278-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 EXECUTIVE DR STE 337",
"city": "AURORA",
"state": "IL",
"postal_code": "605048152",
"telephone_number": "314-442-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUMMISKEY",
"first_name": "MELANIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-02",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178017942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.