Active NPI
Tegan Hullinger, MAED, LCPC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1609363803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.011422
- Practice address
- 5340 N Clark St Ste 212
Chicago, IL 60640-2120 - Phone
- (773) 750-3505
- NPI assigned
- Apr 13, 2018
- Last updated
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.011422 | IL | Primary |
Addresses
Primary practice location
5340 N Clark St Ste 212
Chicago, IL 60640-2120
Mailing address
1707 W Augusta Blvd Apt 2F
Chicago, IL 60622-3207
Phone (480) 635-2870
Other practice location 1
180 N Michigan Ave Ste 1830
Chicago, IL 60601-7407
Phone (773) 750-3505
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 |
|---|---|---|---|
| 180.011422 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1609363803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 W AUGUSTA BLVD APT 2F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223207",
"telephone_number": "480-635-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 N CLARK ST STE 212",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402120",
"telephone_number": "773-750-3505"
}
],
"practiceLocations": [
{
"address_1": "180 N Michigan Ave Ste 1830",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606017407",
"country_code": "US",
"telephone_number": "773-750-3505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULLINGER",
"first_name": "TEGAN",
"credential": "MAED, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.011422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.