Individual provider Active NPI

Mary Anne McHugh-Chaljub, LCPC

  • Mental Health Counselor
  • Aurora, IL
National Provider Identifier
1477812097
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.007319 Issued in IL
Practice address
2114 Deerpath Rd
Aurora, IL 60506-7943
Phone
(630) 907-1735
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.007319 IL Primary

Addresses

Primary practice location

2114 Deerpath Rd
Aurora, IL 60506-7943

Mailing address

2142 N 77TH CT
Elmwood Park, IL 60707-3016
Phone (708) 306-7030

Other names 1

  • Ms. Molly McHugh Other name

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
I20241202001528 IL Practitioner - Mental Health Counselor 9133654098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waterford Counseling and Psychological Services PCGroup PAC ID 7012144017, 14 clinicians

Practice addresses (Care Compare)

1256 Waterford Dr
Suite 140
Aurora, IL 60504-4512
Phone (630) 898-5322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007319ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waterford Counseling and Psychological Services, PC CurrentSince Sep 26, 2024 Accepting new patients
Gary Coleman, Psy.D. & Associates Past Accepting new patients

Locations

1256 Waterford Dr
Ste 140
Aurora, IL 60504
Phone (630) 898-5322

Organizations & group practices 2

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1477812097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 N 77TH CT",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073016",
            "telephone_number": "708-306-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 DEERPATH RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605067943",
            "telephone_number": "630-907-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH-CHALJUB",
        "first_name": "MARY ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MCHUGH",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.