Individual provider Active NPI

Mycah Janelle Hoaglin, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1609672500
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.01683 Issued in IL
Practice address
938 N California Ave
Chicago, IL 60622-4462
Phone
(312) 620-0408
Fax
(312) 248-2595
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.01683 IL Primary

Addresses

Primary practice location

938 N California Ave
Chicago, IL 60622-4462

Mailing address

1832 S Racine Ave Apt 2F
Chicago, IL 60608-3214
Phone (314) 285-7487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 17, 2026 through Apr 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.01683ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1609672500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 S RACINE AVE APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083214",
            "telephone_number": "314-285-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224462",
            "telephone_number": "312-620-0408",
            "fax_number": "312-248-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAGLIN",
        "first_name": "MYCAH",
        "middle_name": "JANELLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.01683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.