Organization Active NPI

Caroline C. Masek, LCPC, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Ellyn, IL
National Provider Identifier
1801636840
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CAROLINE C. MASEK, LCPC, PLLC
Practice address
267 Hillside Ave
Glen Ellyn, IL 60137-4313
Phone
(319) 471-3359
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Caroline Christine Masek, LCPC
Title
Professional Counselor
Phone
(319) 471-3359

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

267 Hillside Ave
Glen Ellyn, IL 60137-4313

Mailing address

267 Hillside Ave
Glen Ellyn, IL 60137-4313
Phone (319) 471-3359

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1801636840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 HILLSIDE AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374313",
            "telephone_number": "319-471-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 HILLSIDE AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374313",
            "telephone_number": "319-471-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE C. MASEK, LCPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "MASEK",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "319-471-3359",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.