Active NPI
Teresa Markum, LCPC
- Professional Counselor
- Lisle, IL
National Provider Identifier
1619328341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180010256
- Practice address
- 4300 Commerce CT
Suite 300
Lisle, IL 60532-3709 - Phone
- (309) 258-8851
- Fax
- (872) 228-8139
- NPI assigned
- Jun 23, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180010256 | IL | Primary |
Addresses
Primary practice location
4300 Commerce CT
Suite 300
Lisle, IL 60532-3709
Mailing address
5824 Walnut Ave
Apt 2C
Downers Grove, IL 60516-6015
Phone (309) 258-8851
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 |
|---|---|---|---|
| 180010256 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Counseling & Therapy Services, LCPC | Professional | Current | 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.
-
- Professional Counselor
- Peoria Heights, IL
- NPI 1932799665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1619328341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5824 WALNUT AVE",
"address_2": "APT 2C",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605166015",
"telephone_number": "309-258-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 COMMERCE CT",
"address_2": "SUITE 300",
"city": "LISLE",
"state": "IL",
"postal_code": "605323709",
"telephone_number": "309-258-8851",
"fax_number": "872-228-8139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKUM",
"first_name": "TERESA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180010256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.