Active NPI
Marita McLaughlin, L.C.P.C.
- Professional Counselor
- Chicago, IL
National Provider Identifier
1902090327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.006547
- Practice address
- 4753 N Broadway St
Suite 510
Chicago, IL 60640-5266 - Phone
- (847) 542-4214
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006547 | IL | Primary |
Addresses
Primary practice location
4753 N Broadway St
Suite 510
Chicago, IL 60640-5266
Mailing address
4753 N Broadway St
Suite 510
Chicago, IL 60640-5266
Phone (847) 542-4214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2024 through Mar 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006547 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1902090327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4753 N BROADWAY ST",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405266",
"telephone_number": "847-542-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4753 N BROADWAY ST",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405266",
"telephone_number": "847-542-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "MARITA",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.