NYELA FISHER-MALONE MS
NPI 1720484611
Counselor in Justice, IL

Q: What is Nyela Fisher-malone's NPI number?

The NPI number for Nyela Fisher-malone is 1720484611. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Q: What is Nyela Fisher-malone's specialty?

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

Active since November 05, 2014PECOS Enrolled

8644 S 86TH AVE, 113, JUSTICE, IL 60458(708) 546-0806 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Nyela Fisher-malone Ms NPPES

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

NYELA FISHER-MALONE MS (NPI 1720484611) is an individual counselor in Justice, Illinois and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1720484611

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameNYELA FISHER-MALONECredential: MS

Location Address8644 S 86TH AVE, 113Justice, IL 60458-2111

Mailing Address3062 E 91st StChicago, IL 60617-4401 · (773) 932-3513

Phone(708) 546-0806

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 5, 2014

✔ NPI 1720484611 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.

8644 S 86TH AVE, Justice, IL 60458

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nyela Fisher-malone Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597240002

PECOS Enrollment IDI20260402001330

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 Nyela Fisher-malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA

623 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Illinois enrollment
107 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

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.

KIJUANA HOOPER

Counselor (Mental Health)

8644 S 86TH AVE, BUILDING 10 APT. 113
JUSTICE, IL 60458

Cook County (708) 546-0806

METROPOLITAN FAMILY SERVICES

Community Based Residential Treatment Facility, Mental Illness

8644 S 86TH AVE, BUILDING 10, APT. 113
JUSTICE, IL 60458

Cook County (708) 233-6685

STEFAN BELL

Counselor

8644 S 86TH AVE
JUSTICE, IL 60458

Cook County (170) 854-6080

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 Nyela Fisher-malone's NPI number?

The NPI number for Nyela Fisher-malone is 1720484611. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Where is Nyela Fisher-malone located?

Nyela Fisher-malone practices at 8644 S 86th Ave 113, Justice, IL 60458. The listed phone number is (708) 546-0806.

What is Nyela Fisher-malone's specialty?

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

Is Nyela Fisher-malone enrolled in Medicare?

Yes. Nyela Fisher-malone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nyela Fisher-malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nyela Fisher-malone reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Nyela Fisher-malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nyela Fisher-malone accept?

Health plans from Oscar Health and UnitedHealthcare list Nyela Fisher-malone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nyela Fisher-malone was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.