Anita Johanson Maddox, LCPC - Counselor in Lake Villa, IL

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Anita Johanson Maddox, LCPC is a Developmental Therapist based in Lake Villa, Illinois. Anita Johanson Maddox is licensed to practice in Illinois (license number AM47190798P) and her current practice location is 89 Cedar Ave, Lake Villa, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 265-7300.

NPI number for Anita Johanson Maddox is 1770623407 and her current mailing address is Po Box 764, Lake Villa, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770623407.

Contact Information

Anita Johanson Maddox, LCPC
89 Cedar Ave,
Lake Villa, IL 60046-8411
(847) 265-7300
(847) 265-7301

Map and Direction


Healthcare Provider's Profile

Full NameAnita Johanson Maddox
GenderFemale
SpecialityDevelopmental Therapist
Location89 Cedar Ave, Lake Villa, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770623407
  • Provider Enumeration Date: 02/08/2007
  • Last Update Date: 09/21/2010

Medical Identifiers

Medical identifiers for Anita Johanson Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770623407NPI-NPPES
04932271OtherILBLUE SHIELD
710957905OtherILFEIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 180004644 (Illinois)Secondary
222Q00000XDevelopmental Therapist AM47190798P (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anita Johanson Maddox is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Anita Johanson Maddox, LCPC
Po Box 764,
Lake Villa, IL 60046-0764

Ph: (847) 265-7300		Anita Johanson Maddox, LCPC
89 Cedar Ave,
Lake Villa, IL 60046-8411

Ph: (847) 265-7300

Reviews and Comments


Developmental Therapist in Lake Villa, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.