Active NPI
Annie G. Malone, LPC,NCC
- Mental Health Counselor
- Oak Lawn, IL
National Provider Identifier
1710281837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178002904
- Practice address
- 10735 S Cicero Ave
Oak Lawn, IL 60453-5400 - Phone
- (708) 424-0001
- NPI assigned
- Jan 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.002904 | IL | |
| School Counselor | 101YS0200X | 178.002904 | IL | |
| Mental Health Counselor | 101YM0800X | 178002904 | IL | Primary |
Addresses
Primary practice location
10735 S Cicero Ave
Oak Lawn, IL 60453-5400
Mailing address
10735 S Cicero Ave
Oak Lawn, IL 60453-5400
Phone (708) 424-0001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178002904 | IL | MD | Mental Health Counselor |
| 178.002904 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1710281837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10735 S CICERO AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535400",
"telephone_number": "708-424-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10735 S CICERO AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535400",
"telephone_number": "708-424-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "ANNIE",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "LPC,NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.002904",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IL",
"license": "178.002904",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178002904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.