Individual provider Active NPI

Patrick McKee, MS, LCPC

  • Mental Health Counselor
  • Mount Prospect, IL
National Provider Identifier
1679852859
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180005465 Issued in IL
Practice address
500 W Central Rd
Suite 104
Mount Prospect, IL 60056-2347
Phone
(847) 922-5278
NPI assigned
Aug 5, 2011
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180005465 IL Primary

Addresses

Primary practice location

500 W Central Rd
Suite 104
Mount Prospect, IL 60056-2347

Mailing address

623 S Albert St
Mount Prospect, IL 60056-3903
Phone (847) 922-5278

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
Master of Science

State licenses

LicenseStateTypeSpecialty
180005465ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Counseling and Wellness Center, LLC Mental Health Past 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, 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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1679852859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S ALBERT ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563903",
            "telephone_number": "847-922-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "SUITE 104",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-922-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "PATRICK",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180005465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.