Individual provider Active NPI

Marcin T Mika, APRN, FPA, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Barrington, IL
National Provider Identifier
1669734315
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277005224 Issued in IL
Practice address
33 W Higgins Rd Ste 655
South Barrington, IL 60010-9134
Phone
(224) 848-5253
NPI assigned
Jun 8, 2012
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277005224 IL Primary

Addresses

Primary practice location

33 W Higgins Rd Ste 655
South Barrington, IL 60010-9134

Mailing address

33 W Higgins Rd Ste 655
South Barrington, IL 60010-9134
Phone (224) 848-5253

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915000477 IL Practitioner - Nurse Practitioner 9436371598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgina Srinivas Rao, M.D., S.C.Group PAC ID 1052477981, 11 clinicians
Integritms Services PLLCGroup PAC ID 6800324294, 2 clinicians

Practice addresses (Care Compare)

1024 W Main St
Saint Charles, IL 60174-1745
Phone (630) 262-2640

33 W Higgins Rd
Suite 655
South Barrington, IL 60010-9134
Phone (224) 848-5253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277005224ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integritms Services PLLC CurrentSince Jan 19, 2026 Accepting new patients
TMS Physician Services, P.C. CurrentSince Jan 19, 2026 Accepting new patients
Radial Health SC Past Accepting new patients
Vera French Community Mental Health PastSince Dec 10, 2023 Accepting new patients

Locations

33 W Higgins Rd
Ste 655
South Barrington, IL 60010
Phone (224) 848-5253

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1669734315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W HIGGINS RD STE 655",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109134",
            "telephone_number": "224-848-5253",
            "fax_number": "224-848-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W HIGGINS RD STE 655",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109134",
            "telephone_number": "224-848-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKA",
        "first_name": "MARCIN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "APRN, FPA, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277005224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

Verify at the official NPI Registry.