Individual provider Active NPI

Melissa R. Strick, LCPC

  • Professional Counselor
  • Flossmoor, IL
National Provider Identifier
1699823906
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001246 Issued in IL
Practice address
3235 Vollmer Rd
Suite 206
Flossmoor, IL 60422-2013
Phone
(708) 334-9005
Fax
(708) 946-3548
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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 180-001246 IL Primary

Addresses

Primary practice location

3235 Vollmer Rd
Suite 206
Flossmoor, IL 60422-2013

Mailing address

PO Box 1541
Beecher, IL 60401-1541
Phone (708) 334-9005

Other identifiers 2

IdentifierTypeStateIssuer
549902OtherILVALUE OPTIONS
01635532OtherILBLUE CROSS BS OF ILLINOIS

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1699823906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604011541",
            "telephone_number": "708-334-9005",
            "fax_number": "708-946-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 VOLLMER RD",
            "address_2": "SUITE 206",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222013",
            "telephone_number": "708-334-9005",
            "fax_number": "708-946-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICK",
        "first_name": "MELISSA",
        "middle_name": "R.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "549902",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS OF ILLINOIS",
            "identifier": "01635532",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.