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MARY FISK
NPI 1578812202
Counselor - Professional in Orland Park, IL

Active since September 10, 2012PECOS EnrolledAccepts Medicare Assignment
11231 DISTINCTIVE DR, ORLAND PARK, IL 60467(800) 461-9533(708) 478-1302 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Fisk NPPES

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

MARY FISK (NPI 1578812202) is an individual professional provider in Orland Park, Illinois, licensed in Illinois (180007068) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1578812202
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY FISK
Location Address11231 DISTINCTIVE DROrland Park, IL 60467-9458
Mailing AddressPo Box 379Orland Park, IL 60462-0379 · (708) 460-9833 · Fax (708) 460-1117
Phone(800) 461-9533
Fax(708) 478-1302
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 10, 2012
✔ NPI 1578812202 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 · 180007068
11231 DISTINCTIVE DR, Orland Park, IL 60467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Fisk 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 ID5092152462
PECOS Enrollment IDI20240320003147
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 Mary Fisk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance Counseling & Coaching Of Illinois, PLLC
19 mi
Professional
25224 W EAMES ST
Channahon, IL 60410
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
NPI 1063867257 (815) 467-8181

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 4

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

CHRYSOGONUS NGONGCHIA
Nurse Practitioner (Psychiatric/Mental Health)
11231 DISTINCTIVE DR
ORLAND PARK, IL 60467
Cook County (800) 461-9533
AMANDA KAY AMITI FNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11231 DISTINCTIVE DR
ORLAND PARK, IL 60467
Cook County (800) 461-9533
MARY B. WELLS RN, MSN, LMT, AGNP-C
Nurse Practitioner (Adult Health)
11231 DISTINCTIVE DR
ORLAND PARK, IL 60467
Cook County (800) 461-9533
SHANA MARIE ANDERSON LPC
Counselor (Professional)
11231 DISTINCTIVE DR
ORLAND PARK, IL 60467
Cook County (800) 461-9533

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 Mary Fisk's NPI number?

The NPI number for Mary Fisk is 1578812202. It was assigned to this individual provider in the NPPES registry on September 10, 2012.

Where is Mary Fisk located?

Mary Fisk practices at 11231 Distinctive Dr, Orland Park, IL 60467. The listed phone number is (800) 461-9533.

What is Mary Fisk's specialty?

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

Is Mary Fisk enrolled in Medicare?

Yes. Mary Fisk 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.

Which organization bills Medicare for Mary Fisk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Fisk reassigns Medicare benefits to Alliance Counseling & Coaching Of Illinois, PLLC (Channahon, 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 Mary Fisk'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 Mary Fisk was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.