Individual provider Active NPI

Maureen Patrice Tamillow, LCPC

  • Professional Counselor
  • Hinsdale, IL
National Provider Identifier
1659438430
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001057 Issued in IL
Practice address
111 W Chicago Ave
Hinsdale, IL 60521-3356
Phone
(630) 655-9040
NPI assigned
Jan 2, 2007
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-001057 IL Primary
Mental Health Counselor 101YM0800X 180-001057 IL
School Counselor 101YS0200X 2186312 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 25778 IL

Addresses

Primary practice location

111 W Chicago Ave
Hinsdale, IL 60521-3356

Mailing address

1145 S Scoville Ave
Oak Park, IL 60304-2129
Phone (708) 386-1742

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

LicenseStateTypeSpecialty
25778ILMDAddiction (Substance Use Disorder) Counselor
180-001057ILMDMental Health Counselor
2186312ILMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1659438430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S SCOVILLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042129",
            "telephone_number": "708-386-1742",
            "fax_number": "708-386-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CHICAGO AVE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213356",
            "telephone_number": "630-655-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMILLOW",
        "first_name": "MAUREEN",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001057",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-001057",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "2186312",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "25778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.