Individual provider Active NPI

Mary L Przanowski, LCPC

  • Professional Counselor
  • Lincolnshire, IL
National Provider Identifier
1790567279
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180004196 Issued in IL
Practice address
111 Barclay Blvd Ste 180
Lincolnshire, IL 60069-3615
Phone
(847) 748-2019
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 180004196 IL Primary

Addresses

Primary practice location

111 Barclay Blvd Ste 180
Lincolnshire, IL 60069-3615

Mailing address

111 Barclay Blvd Ste 180
Lincolnshire, IL 60069-3615
Phone (847) 748-2019

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

LicenseStateTypeSpecialty
180004196ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Counseling LLC Professional CurrentSince Dec 17, 2023 Accepting new patients

Locations

111 Barclay Blvd
Ste 180
Lincolnshire, IL 60069
Phone (847) 748-2019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1790567279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BARCLAY BLVD STE 180",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693615",
            "telephone_number": "847-748-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BARCLAY BLVD STE 180",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693615",
            "telephone_number": "847-748-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZANOWSKI",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.