Individual provider Active NPI

Anne Elyse Morrill-Ploum, MA

  • Mental Health Counselor
  • Oak Forest, IL
National Provider Identifier
1619081353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6006 159TH St BLDG C
Oak Forest, IL 60452-2904
Phone
(708) 535-7320
Fax
(708) 535-7571
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

6006 159TH St BLDG C
Oak Forest, IL 60452-2904

Mailing address

6006 159TH St BLDG C
Oak Forest, IL 60452-2904
Phone (708) 535-7320

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-002309ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Therapy Center Mental Health PastSince Nov 25, 2024 Accepting new patients

Organizations & group practices 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619081353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 159TH ST BLDG C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522904",
            "telephone_number": "708-535-7320",
            "fax_number": "708-535-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 159TH ST BLDG C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522904",
            "telephone_number": "708-535-7320",
            "fax_number": "708-535-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRILL-PLOUM",
        "first_name": "ANNE",
        "middle_name": "ELYSE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.