MATTHEW VINCENT MALICKI LPC
NPI 1487547584
Counselor - Professional in Schaumburg, IL

Active since May 29, 2025PECOS Enrolled
715 E GOLF RD STE 200A1, SCHAUMBURG, IL 60173(847) 737-9191 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Matthew Vincent Malicki Lpc NPPES

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

MATTHEW VINCENT MALICKI LPC (NPI 1487547584) is an individual professional provider in Schaumburg, Illinois, licensed in Illinois (178.021664) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487547584
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW VINCENT MALICKICredential: LPC
Location Address715 E GOLF RD STE 200A1Schaumburg, IL 60173-4595
Mailing Address715 E Golf Rd Ste 200a1Schaumburg, IL 60173-4595 · (847) 737-9191
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1487547584 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 · 178.021664
715 E GOLF RD STE 200A1, Schaumburg, IL 60173

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Vincent Malicki Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961961529
PECOS Enrollment IDI20260825002447
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Malicki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
715 E GOLF RD STE 200A1A
Schaumburg, IL 60173
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
715 E GOLF RD STE 200A1
SCHAUMBURG, IL 60173
Social Worker (Clinical)
715 E GOLF RD STE 200A1
SCHAUMBURG, IL 60173
Counselor
715 E GOLF RD STE 200A1
SCHAUMBURG, IL 60173

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 Matthew Malicki's NPI number?

The NPI number for Matthew Malicki is 1487547584. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Matthew Malicki located?

Matthew Malicki practices at 715 E Golf Rd Ste 200a1, Schaumburg, IL 60173. The listed phone number is (847) 737-9191.

What is Matthew Malicki's specialty?

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

Is Matthew Malicki enrolled in Medicare?

Yes. Matthew Malicki is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Malicki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Malicki reassigns Medicare benefits to Edit Your Life Inc (Schaumburg, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Malicki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Malicki was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.