Individual provider Active NPI

Barbara Maulding, LCPC

  • Professional Counselor
  • Crystal Lake, IL
National Provider Identifier
1710352422
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010906 Issued in IL
Practice address
1566 Skyridge Dr Unit 2
Crystal Lake, IL 60014-1027
Phone
(224) 623-2251
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180010906 IL Primary
Mental Health Counselor 101YM0800X 180010906 IL

Addresses

Primary practice location

1566 Skyridge Dr Unit 2
Crystal Lake, IL 60014-1027

Mailing address

1566 Skyridge Dr Unit 2
Crystal Lake, IL 60014-1027
Phone (224) 623-2251

Other identifiers 1

IdentifierTypeStateIssuer
180010906OtherILLCPC

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
I20240424003745 IL Practitioner - Mental Health Counselor 2264870989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Burdent Dr
Suite F
Crystal Lake, IL 60014-4233
Phone (224) 623-2251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Space Online Counseling and Coaching, LLC Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Brighter Side Counseling LLC Mental Health CurrentSince Jun 11, 2024 Accepting new patients

Locations

35 Burdent Dr
Ste F
Crystal Lake, IL 60014
Phone (224) 623-2251

41 N McLean Blvd
Elgin, IL 60123
Phone (847) 264-4655

85 Market St
Elgin, IL 60123
Phone (847) 264-4655

81 Market St
Elgin, IL 60123

Organizations & group practices 2

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": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1710352422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 SKYRIDGE DR UNIT 2",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141027",
            "telephone_number": "224-623-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 SKYRIDGE DR UNIT 2",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141027",
            "telephone_number": "224-623-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDING",
        "first_name": "BARBARA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010906",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "180010906",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.