Individual provider Active NPI

Nancy Marie Mulvihill, LCPC

  • Mental Health Counselor
  • Frankfort, IL
National Provider Identifier
1881238707
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.011880 Issued in IL
Practice address
21 S White St Ste 3
Frankfort, IL 60423-4007
Phone
(815) 662-5480
NPI assigned
Nov 4, 2019
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.011880 IL Primary

Addresses

Primary practice location

21 S White St Ste 3
Frankfort, IL 60423-4007

Mailing address

695 Vermont Rd W
Frankfort, IL 60423-1215
Phone (708) 548-1994

Other practice location 1

695 Vermont Rd W
Frankfort, IL 60423-1215
Phone (708) 548-1994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.011880ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rescue Counseling LTD CurrentSince Oct 23, 2022 Accepting new patients
The Kennedy Center for Counseling, P.C. Mental Health PastSince Nov 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1881238707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 VERMONT RD W",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231215",
            "telephone_number": "708-548-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S WHITE ST STE 3",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604234007",
            "telephone_number": "815-662-5480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 Vermont Rd W",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604231215",
            "country_code": "US",
            "telephone_number": "708-548-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVIHILL",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.011880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.