MANDILYN RENICE GRAHAM (LCPC) – Professional Counselor, NPI 1366951709

MANDILYN RENICE GRAHAM (LCPC) is a healthcare provider. based in Country club hills, Illinois. specializing in Professional Counselor. They hold the professional credentials LCPC. They hold a License No. 6401222749 (MI). The NPI Number for MANDILYN RENICE GRAHAM (LCPC) is 1366951709

Main info

Female
Sole Proprietor
Name
MANDILYN RENICE GRAHAM (LCPC)
NPI
1366951709
Phone
(773) 301-3640
Address
17485 EASTGATE DR
Enumeration Date
28 September 2017
Last Update Date
16 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

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Provider Addresses for MANDILYN RENICE GRAHAM (LCPC)

  • 17485, Eastgate Drive, Country Club Hills, Bremen Township, Cook County, Illinois, 60478, United States

    COUNTRY CLUB HILLS, IL 604784640

    Phone: (773) 301-3640

    Type: Location

  • 7770 PAINT CREEK DR

    YPSILANTI, MI 481976139

    Phone: (773) 301-3640

    Type: Location

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.

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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.

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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 60478)

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Reviews

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Frequently asked questions

How do payers reference MANDILYN RENICE GRAHAM (LCPC)?
For MANDILYN RENICE GRAHAM (LCPC), use NPI 1366951709 as the unique 10-digit identifier.
Is MANDILYN RENICE GRAHAM (LCPC) still an active registrant?
MANDILYN RENICE GRAHAM (LCPC) carries an active NPI according to the public dataset.
What area of care is associated with MANDILYN RENICE GRAHAM (LCPC)?
MANDILYN RENICE GRAHAM (LCPC)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Illinois is MANDILYN RENICE GRAHAM (LCPC) registered?
Use Country Club Hills, Illinois as the headline location for MANDILYN RENICE GRAHAM (LCPC) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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