Individual provider Active NPI

Tegan Hullinger, MAED, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1609363803
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.011422 Issued in IL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 180.011422 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

LicenseStateTypeSpecialty
180.011422ILMDMental 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.

Verify at the official NPI Registry.