Healthcare Provider Details

I. General information

NPI: 1164334330
Provider Name (Legal Business Name): ANNE HUSTON NCC, LPC, ALMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNIE HUSTON

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 S CRESCENT AVE
PARK RIDGE IL
60068-4841
US

IV. Provider business mailing address

917 S CRESCENT AVE
PARK RIDGE IL
60068-4841
US

V. Phone/Fax

Practice location:
  • Phone: 847-269-3972
  • Fax:
Mailing address:
  • Phone: 847-269-3972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.032818
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: