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

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: August 02, 2026.

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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Medicare Participation & PECOS CMS

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

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.

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.

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 11 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.