Mary Degrazia, M.a., L.C.P.C., LTD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARY DEGRAZIA, M.A., L.C.P.C., LTD

Practice address

316 1/2 Main St
Evanston, IL 60202-1808

Phone

(847) 864-0837

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Mary E DegraziaNPI 1801071295

Title

President

Phone

(847) 864-0837

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary E Degrazia, L.C.P.C.

  • Mental Health Counselor
  • Evanston, IL
  • NPI 1801071295
  NPD (past) Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1619151982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 1/2 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021808",
            "telephone_number": "847-864-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 1/2 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021808",
            "telephone_number": "847-864-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY DEGRAZIA, M.A., L.C.P.C., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "DEGRAZIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-864-0837"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fernanda Martinez
• Melissa Martinez, MS, LAT, ATC
• Yamileth Martinez
• Deema Martini
• Phillip John Martini, DDS
• Marybeth Napier PSYD & Associates
• Jesse H. Marymont, MD
• Mirella Marzocchi, MD
• Michelle Alane Masbaum, LCPC, ATR-BC, CDVP
• Maria Victoria Masi, LMFT

• Mental Health Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.