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: August 02, 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
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

Medicare Participation & PECOS CMS

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

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.

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.

Counselor (Mental Health)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Social Worker
1010 LAKE ST STE 500
OAK PARK, IL 60301
Counselor (Professional)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Psychologist (Clinical)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Social Worker
1010 LAKE ST STE 500
OAK PARK, IL 60301
Counselor (Mental Health)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Physician Assistant
1010 LAKE ST STE 500
OAK PARK, IL 60301
Social Worker (Clinical)
1010 LAKE ST STE 500
OAK PARK, IL 60301

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.

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.