Sondra Malling, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180010975 Issued in IL

Practice address

2653 W Ogden Ave FL 2
Chicago, IL 60608-1647

Phone

(773) 257-6672

Fax

(773) 257-5330

NPI assigned

Jul 12, 2017

Last updated

Jul 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1811419799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 N LINDER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301327",
            "telephone_number": "847-323-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 W OGDEN AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081647",
            "telephone_number": "773-257-6672",
            "fax_number": "773-257-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLING",
        "first_name": "SONDRA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayantilal T. Malli, DDS
• Evelyn Carmen Malliaras, MS
• Hammad Mallick, OD
• Naveed K Mallick, MD
• Rachelle Lacroix Mallik, MA, RD, LDN
• Taylor Mallon
• Amanda Christine Malloni, LCPC
• Aaron Mallory, LCSW
• Erin Rebecca Mallory, MS D.T.
• Latasha Tene Mallory

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.