Mallory Clare Weber

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

011141 Issued in IL

Practice address

214 W Jefferson Ave
Effingham, IL 62401-2367

Phone

(217) 821-9980

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Rush University Medical Center

  dba Division of Hematology Oncology and Section of Medical Oncology

  • Hematology & Oncology Physician
  • Chicago, IL
  • NPI 1558320861
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1831567726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CLIFFVIEW DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624015222",
            "telephone_number": "217-821-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W JEFFERSON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012367",
            "telephone_number": "217-821-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S 4th St Ste 219",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624014187",
            "country_code": "US",
            "telephone_number": "217-821-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624013711",
            "country_code": "US",
            "telephone_number": "217-821-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MALLORY",
        "middle_name": "CLARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011501",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "011141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WC- Effingham Estates Ops LLC (Brookstone Estates of Effingham)
• Weber Optiks Inc.
• Anthony R Weber, O.D.
• Christopher Paul Weber, O.D.
• Kathleen Weber, FNP-BC
• Lonni R Weis, OTR/L
• Wellness Loft Inc.
• Abby Elizabeth Welsh, MD
• Larry Joe Welsh, LCPC, NCC, CCMHC
• Rebekah Wendling, MS, LCPC, CADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.