Individual provider Active NPI

James Phelan, LPC

  • Mental Health Counselor
  • Oak Lawn, IL
National Provider Identifier
1427407279
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011498 Issued in IL
Practice address
10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400
Phone
(708) 424-0001
NPI assigned
Jun 11, 2016
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 180011498 IL Primary
Professional Counselor 101YP2500X 178.011975 IL

Addresses

Primary practice location

10735 S Cicero Ave
Suite 208
Oak Lawn, IL 60453-5400

Mailing address

4608 W. 99TH St.
Oak Lawn, IL 60453
Phone (773) 573-3206

Other practice location 1

7330 W College Dr Ste 207
Palos Heights, IL 60463-1157
Phone (708) 568-1479

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240325001233 IL Practitioner - Mental Health Counselor 2264879394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Solutions Counseling ServicesGroup PAC ID 1355788480, 4 clinicians

Practice addresses (Care Compare)

7330 W College Dr
Suite 207
Palos Heights, IL 60463-1184
Phone (708) 568-1479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.011975ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Solutions Counseling Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Center for Psychological Services,LTD Mental Health Past Accepting new patients
Center for Psychological Services - Oak Lawn LTD PastSince Dec 17, 2003 Accepting new patients

Locations

7330 W College Dr
Ste 207
Palos Heights, IL 60463
Phone (708) 215-4122

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1427407279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 W. 99TH ST.",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "773-573-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "SUITE 208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-424-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7330 W College Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631157",
            "country_code": "US",
            "telephone_number": "708-568-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-11",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011498",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.