MEDICARE: AP MENTAL HEALTH COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1720911746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AP MENTAL HEALTH COUNSELING

Provider Business Mailing Address
First Line	:	1507 E 53RD ST STE 110
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 E 53RD ST STE 110
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4573
Country	:	US
Telephone Number	:	773-225-9167
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	CINDY LOUISE LYS
Credential	:	LCSW
Telephone Number	:	773-225-9167

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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