Individual provider Active NPI

Anthony Mule, MA

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1689027773
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178012141 Issued in IL
Practice address
121 S Wilke Rd
Suite 200
Arlington Heights, IL 60005-1533
Phone
(630) 984-5544
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 178012141 IL Primary

Addresses

Primary practice location

121 S Wilke Rd
Suite 200
Arlington Heights, IL 60005-1533

Mailing address

1242 N Scarlet Dr
Addison, IL 60101-1187
Phone (630) 361-2221

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
I20240817000056 IL Practitioner - Mental Health Counselor 7113465485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Behavioral Health Services PCGroup PAC ID 7113964511, 6 clinicians

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923
Phone (847) 752-6827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178012141ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Behavioral Health Services, PC CurrentSince Aug 2, 2024 Accepting new patients

Locations

121 S Wilke Rd
Ste 200
Arlington Heights, IL 60005
Phone (847) 577-0904

415 W Golf Rd
Ste 16
Arlington Hts, IL 60005
Phone (847) 577-0904

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.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1689027773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 N SCARLET DR",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011187",
            "telephone_number": "630-361-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051533",
            "telephone_number": "630-984-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULE",
        "first_name": "ANTHONY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.