STACY MALM LCPC
NPI 1104878008
Counselor in Chicago, IL

Active since May 17, 2006
3401 N CENTRAL AVE, CHICAGO, IL 60634(773) 286-8822(773) 824-4997 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Malm Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY MALM LCPC (NPI 1104878008) is an individual counselor in Chicago, Illinois and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1104878008
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTACY MALMCredential: LCPC
Location Address3401 N CENTRAL AVEChicago, IL 60634-4426
Mailing Address3401 N Central AveChicago, IL 60634-4426 · (773) 286-8822 · Fax (773) 824-4997
Fax(773) 824-4997
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateNovember 29, 2007
NPI 1104878008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3401 N CENTRAL AVE, Chicago, IL 60634

Other Identifiers 1

Other01635515IL · Bc#

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3401 N CENTRAL AVE
CHICAGO, IL 60634
Pediatrics
3401 N CENTRAL AVE
CHICAGO, IL 60634
Physical Therapist
3401 N CENTRAL AVE
CHICAGO, IL 60634
Family Medicine
3401 N CENTRAL AVE
CHICAGO, IL 60634
Social Worker
3401 N CENTRAL AVE
CHICAGO, IL 60634
Specialist (Research Study)
3401 N CENTRAL AVE
CHICAGO, IL 60634
Clinic/Center (Primary Care)
3401 N CENTRAL AVE
CHICAGO, IL 60634
Clinic/Center (Physical Therapy)
3401 N CENTRAL AVE
CHICAGO, IL 60634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Malm's NPI number?

The NPI number for Stacy Malm is 1104878008. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Stacy Malm located?

Stacy Malm practices at 3401 N Central Ave, Chicago, IL 60634. The listed phone number is (773) 286-8822.

What is Stacy Malm's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stacy Malm was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.