SAVANNAH MUDD LPC
NPI 1518677939
Counselor - Professional in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since November 28, 2022PECOS Enrolled

155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601(312) 819-7381 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Savannah Mudd Lpc NPPES

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

SAVANNAH MUDD LPC (NPI 1518677939) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.018596) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518677939

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSAVANNAH MUDDCredential: LPC

Location Address155 N MICHIGAN AVE STE 201Chicago, IL 60601-7940

Mailing Address2269 N Kedzie Blvd Apt 1Chicago, IL 60647-2591

Phone(312) 819-7381

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 28, 2022

NPPES CertifiedNovember 26, 2022

✔ NPI 1518677939 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 · 178.018596

155 N MICHIGAN AVE STE 201, Chicago, IL 60601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Mudd Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426556804

PECOS Enrollment IDI20250814000093

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.