Michelle Marie Lilly, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007793 Issued in IL

Practice address

2S504 Ashley Dr
Glen Ellyn, IL 60137-6939

Phone

(630) 696-2443

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle Marie Gross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Lilly Counseling and Consultation LLC

  • Clinical Psychologist
  • Glen Ellyn, IL
  • NPI 1598231961
  NPD Authorized official

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1811147499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2S504 ASHLEY DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376939",
            "telephone_number": "630-696-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2S504 ASHLEY DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376939",
            "telephone_number": "630-696-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "071.007793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GROSS",
            "middle_name": "MARIE",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Life Care Wellness, Inc.
• Lifecare Counseling & Wellness, LLC
• Lifecare Counseling, LTD
• Deanna Laura Ligman
• Lilly Counseling and Consultation LLC
• Kim A. Lindenmuth, M.D.
• Elaine Marie Link, LCSW
• Christine Ruth Lipinski, M.D.
• Rosalie Marie Lipon, RPH
• Marina Lisjonok, LCSW

• Clinical Psychologist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.