Timothy J Mackin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

150.104360 Issued in IL

Practice address

1242 W Northwest Hwy
Palatine, IL 60067-1897

Phone

(888) 261-2178

NPI assigned

Mar 8, 2020

Last updated

Mar 8, 2020By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1922633130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WASHINGTON ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255027",
            "telephone_number": "773-439-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671897",
            "telephone_number": "888-261-2178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 N Rand Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472213",
            "country_code": "US",
            "telephone_number": "888-261-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 S Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600108300",
            "country_code": "US",
            "telephone_number": "888-261-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKIN",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.104360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Palatine, IL
• Providers in Palatine, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.