Michael Mahoney, LPC
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1982171922
StatusActive
Last updated in NPPESOct 29, 2018
Details
- NPI
- 1982171922
- Entity type
- Individual (NPI-1)
- Name
- Michael Mahoney
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2018
- Last updated
- Oct 29, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 178012897 | IL | Yes |
Practice location
3828 W Taylor StChicago, IL 60624-4027
Phone 773-826-1916
Mailing address
55 E Jackson Blvd Ste 1500Chicago, IL 60604-4137
Phone 312-663-1130 · Fax 312-663-0504
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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