Active NPI
Deborah Mary McEllin, BS,CADC
- Addiction (Substance Use Disorder) Counselor
- Elgin, IL
National Provider Identifier
1629194501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 19967
- Practice address
- 675 Varsity Drive
Elgin, IL 60120-8176 - Phone
- (847) 741-2600
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19967 | IL | Primary |
Addresses
Primary practice location
675 Varsity Drive
Elgin, IL 60120-8176
Mailing address
1101 S Rand Road
Villa Park, IL 60181-3148
Phone (630) 833-6033
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19967 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629194501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S RAND ROAD",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "601813148",
"telephone_number": "630-833-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 VARSITY DRIVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601208176",
"telephone_number": "847-741-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELLIN",
"first_name": "DEBORAH",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "BS,CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "19967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, 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.