MICHAEL ANDERSON LPC
NPI 1245842814
Counselor - Professional in Evergreen Park, IL

Active since August 17, 2020PECOS EnrolledAccepts Medicare Assignment
3317 W 95TH ST STE 101, EVERGREEN PARK, IL 60805(708) 529-3011 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Anderson Lpc NPPES

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

MICHAEL ANDERSON LPC (NPI 1245842814) is an individual professional provider in Evergreen Park, Illinois, licensed in Illinois (178015917) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245842814
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL ANDERSONCredential: LPC
Location Address3317 W 95TH ST STE 101Evergreen Park, IL 60805-2243
Mailing Address1952 N Humboldt Blvd # 17Chicago, IL 60647-3844 · (773) 398-5142
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
NPI 1245842814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178015917
3317 W 95TH ST STE 101, Evergreen Park, IL 60805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Anderson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860865805
PECOS Enrollment IDI20250423000256
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805
Counselor
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805
Counselor (Professional)
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805
Art Therapist
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805
Counselor (Professional)
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805
Counselor (Mental Health)
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805
Counselor (Mental Health)
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805
Social Worker
3317 W 95TH ST STE 101
EVERGREEN PARK, IL 60805

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 Michael Anderson's NPI number?

The NPI number for Michael Anderson is 1245842814. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Michael Anderson located?

Michael Anderson practices at 3317 W 95th St Ste 101, Evergreen Park, IL 60805. The listed phone number is (708) 529-3011.

What is Michael Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Anderson enrolled in Medicare?

Yes. Michael Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Anderson was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.