MARY MIKA (LCPC) – Professional Counselor, NPI 1487970505

MARY MIKA (LCPC) is a healthcare provider. based in Palos park, Illinois. specializing in Professional Counselor. They hold the professional credentials LCPC. They hold a License No. 180.007345 (IL). The NPI Number for MARY MIKA (LCPC) is 1487970505

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MARY MIKA (LCPC)
NPI
1487970505
Phone
(708) 448-3300
Address
13011 S 104TH AVE
Enumeration Date
14 April 2010
Last Update Date
11 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478234444
Graduation Year
2011 (15 years ago)
PAC ID
8628290160
Group Practice PAC ID
3678590429
Professional Enrollment ID
I20141117001252
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MARY MIKA (LCPC)

  • 104th Avenue, Palos Township, Cook County, Illinois, 60464, United States

    SUITE 200

    PALOS PARK, IL 604641506

    Phone: (708) 448-3300

    Fax: (708) 448-6972

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60464)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678590429View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL

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Frequently asked questions

What number should I use to identify MARY MIKA (LCPC) for billing?
Administrative and clinical systems typically use NPI 1487970505 for MARY MIKA (LCPC).
Is MARY MIKA (LCPC)'s NPI status active today?
Active status means MARY MIKA (LCPC)'s NPI record is not deactivated in the public file.
What services align with MARY MIKA (LCPC)'s listing?
MARY MIKA (LCPC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Is MARY MIKA (LCPC) tied to Palos Park, Illinois?
If you are local to Palos Park, Illinois, MARY MIKA (LCPC) may be relevant to your search.
Can I export MARY MIKA (LCPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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