Active NPI
Mary Colleen Mahoney, LCSW, CADC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1629706130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 149.023334
- Practice address
- 155 N Michigan Ave Ste 380
Chicago, IL 60601-7710 - Phone
- (773) 340-2616
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 35837 | IL | |
| Mental Health Counselor | 101YM0800X | 149.023334 | IL | Primary |
Addresses
Primary practice location
155 N Michigan Ave Ste 380
Chicago, IL 60601-7710
Mailing address
870 N State St Apt 2N
Chicago, IL 60610-3333
Phone (224) 406-4641
Other practice location 1
870 N State St Apt 2N
Chicago, IL 60610-3333
Phone (708) 252-3706
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 24, 2026 through Apr 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35837 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 149.023334 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mighty Minds Therapy Center, PLLC | 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.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1407669815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1629706130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 N STATE ST APT 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103333",
"telephone_number": "224-406-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE STE 380",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017710",
"telephone_number": "773-340-2616"
}
],
"practiceLocations": [
{
"address_1": "870 N State St Apt 2N",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606103333",
"country_code": "US",
"telephone_number": "708-252-3706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHONEY",
"first_name": "MARY",
"middle_name": "COLLEEN",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "35837",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149.023334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.