MEDICARE: CMP COUNSELING, PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1821877507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMP COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	3400 W 111TH ST # 438
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-3330
Country	:	US
Telephone Number	:	312-415-9014
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 W MAPLE ST FL 2
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-3043
Country	:	US
Telephone Number	:	312-415-9014
Fax Number	:	708-694-9507

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	CATHLEEN PALUBICKI
Credential	:	LCPC
Telephone Number	:	312-415-9014

Provider Enumeration Date	:	09/22/2023
Last Update Date	:	04/10/2025

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