Erin M. Conley, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180014140 Issued in IL

Practice address

5537 N Broadway St
Chicago, IL 60640-1405

Phone

(773) 989-9400

Fax

(773) 989-9494

NPI assigned

Jul 26, 2022

Last updated

Jul 27, 2022By 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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew Vail LCSW PLLCGroup PAC ID 0244671105, 2 clinicians

Katherine Fruhauff PSYD IncGroup PAC ID 4981945615, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Katherine Fruhauff, PSYD, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evanston, IL
  • NPI 1659842417
  Medicare reassignment Care Compare group NPD
• Matthew Vail LCSW PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1669177788
  Medicare reassignment Care Compare group NPD
• Tpa Network Incorporated

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1174896914

  Professional

  Medicare reassignment NPD
• Tpa Network Incorporated

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1912752569
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1811623580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401405",
            "telephone_number": "773-989-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401405",
            "telephone_number": "773-989-9400",
            "fax_number": "773-989-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "ERIN",
        "middle_name": "M.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Congress Vein Clinic LLC
• Shirley A Conibear, M.D.
• Conklin Counseling, LLC
• Dana Rose Conlan
• David Conley, MD
• Jacqueline A Conley, PH.D.
• Jeanette Conley
• Kathryn Lynn Conley, PHARMD
• Matthew Conley
• Rachel Conley

• 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 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.