Individual provider Active NPI

Holly Marie McDaniel, LPC

  • Professional Counselor
  • Northbrook, IL
National Provider Identifier
1669134334
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.017327 Issued in IL
Practice address
1357 Northmoor CT
Northbrook, IL 60062-4454
Phone
(217) 493-5863
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.017327 IL Primary

Addresses

Primary practice location

1357 Northmoor CT
Northbrook, IL 60062-4454

Mailing address

1357 Northmoor CT
Northbrook, IL 60062-4454
Phone (217) 493-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917001142 IL Practitioner - Mental Health Counselor 2567966229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Progressive Psychological Healthcare SCGroup PAC ID 8527366939, 10 clinicians

Practice addresses (Care Compare)

750 W Lake Cook Rd
Suite 190
Buffalo Grove, IL 60089-2084
Phone (847) 979-0268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.017327ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Psychological Healthcare, S.C. CurrentSince Jun 27, 2025 Accepting new patients
In Home Health, LLC Past Accepting new patients
Marianna Tsaran MD SC PastSince Jun 27, 2025 Accepting new patients

Locations

1100 W Lake Cook Rd
Ste 130
Buffalo Grove, IL 60089
Phone (847) 439-5359

1100 W Lake Cook Rd
Ste 210
Buffalo Grove, IL 60089
Phone (847) 979-0268

750 W Lake Cook Rd
Ste 190
Buffalo Grove, IL 60089
Phone (847) 979-0268

2551 N Clark St
Ste 300
Chicago, IL 60614
Phone (847) 979-0268

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1669134334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 NORTHMOOR CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624454",
            "telephone_number": "217-493-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 NORTHMOOR CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624454",
            "telephone_number": "217-493-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.