Individual provider Active NPI

Penny S McGrath, MA

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1710994512
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005214 Issued in IL
Practice address
111 W Jackson Blvd FL 17
Chicago, IL 60604-3589
Phone
(312) 612-9453
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 180005214 IL Primary

Addresses

Primary practice location

111 W Jackson Blvd FL 17
Chicago, IL 60604-3589

Mailing address

1530 S State St Apt 15P
Chicago, IL 60605-2974
Phone (312) 612-9453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180005214ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Penny McGrath LCPC LLC Professional CurrentSince Mar 11, 2025 Accepting new patients

Locations

111 W Jackson Blvd
Ste 17
Chicago, IL 60604

111 W Jackson Blvd
Fl 17
Chicago, IL 60604
Phone (312) 612-9453

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1710994512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S STATE ST APT 15P",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052974",
            "telephone_number": "312-612-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON BLVD FL 17",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043589",
            "telephone_number": "312-612-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "PENNY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.