Individual provider Active NPI

Julie Mueller, LCPC

  • Mental Health Counselor
  • Tinley Park, IL
National Provider Identifier
1689738213
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180002743 Issued in IL
Practice address
16860 Oak Park Ave
Suite 201
Tinley Park, IL 60477-2761
Phone
(312) 246-0465
Fax
(708) 647-1274
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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 180002743 IL Primary

Addresses

Primary practice location

16860 Oak Park Ave
Suite 201
Tinley Park, IL 60477-2761

Mailing address

2642 Central Dr
1N
Flossmoor, IL 60422-1138
Phone (312) 246-0465

Other identifiers 1

IdentifierTypeStateIssuer
180002743OtherILLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180002743ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Mueller, LCPC, LLC PastSince Apr 5, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1689738213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 CENTRAL DR",
            "address_2": "1N",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221138",
            "telephone_number": "312-246-0465",
            "fax_number": "708-647-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16860 OAK PARK AVE",
            "address_2": "SUITE 201",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772761",
            "telephone_number": "312-246-0465",
            "fax_number": "708-647-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180002743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "180002743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.