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JANINE MARIE PHAN MA, LPC
NPI 1801404348
Counselor - Mental Health in Oak Park, IL

Active since July 21, 2020PECOS EnrolledAccepts Medicare Assignment
1010 LAKE ST STE 500, OAK PARK, IL 60301(773) 665-8052 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Janine Marie Phan Ma, Lpc NPPES

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

JANINE MARIE PHAN MA, LPC (NPI 1801404348) is an individual mental health provider in Oak Park, Illinois, licensed in Illinois (178.015014) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801404348
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJANINE MARIE PHANCredential: MA, LPC
Location Address1010 LAKE ST STE 500Oak Park, IL 60301-1135
Mailing Address1020 W Lawrence Ave Apt 531Chicago, IL 60640-5007 · (616) 821-4241
Phone(773) 665-8052
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1801404348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.015014
1010 LAKE ST STE 500, Oak Park, IL 60301
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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

Janine Marie Phan Ma, Lpc 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 ID1153836770
PECOS Enrollment IDI20250714001811
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 Janine Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smart Love Parenting Center
0.8 mi
Community/Behavioral Health
610 S MAPLE AVE, SUITE 5300
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1922206101 (773) 665-8052

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 10

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

BLAIRE PAULSEN
Counselor (Mental Health)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
BRITNEY CHAVERS LSW
Social Worker
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
HALEY ROSENTHAL LPC
Counselor (Professional)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (708) 316-8534
DR. PAULA CICCARONE PH.D.
Psychologist (Clinical)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
STEVEN BINNS
Social Worker
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (708) 566-6486
OLIVIA DELAFIELD TINATI
Counselor (Mental Health)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
CANDICE OBERLIES PA-C
Physician Assistant
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (708) 524-8600
DR. SARA BETH JOHNSON M.S.W., L.C.S.W, PHD
Social Worker (Clinical)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052

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 Janine Phan's NPI number?

The NPI number for Janine Phan is 1801404348. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Janine Phan located?

Janine Phan practices at 1010 Lake St Ste 500, Oak Park, IL 60301. The listed phone number is (773) 665-8052.

What is Janine Phan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Janine Phan enrolled in Medicare?

Yes. Janine Phan 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 Janine Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janine Phan reassigns Medicare benefits to Smart Love Parenting Center (Oak Park, 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 Janine Phan'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 Janine Phan was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.