MEDICARE: ANNA MEREL LCPC

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	178.008626	IL
2	101Y00000X	Counselor	178.008626	IL
3	101YP2500X	Professional Counselor	178.008626	IL
4	101YP2500X	Professional Counselor	180.012655	IL

General Provider Information

NPI Number	:	1215494216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MEREL LCPC

Provider Business Mailing Address
First Line	:	531 APPLETREE LN
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-3930
Country	:	US
Telephone Number	:	847-971-9662
Fax Number	:

Provider Business Practice Location Address
First Line	:	3633 W LAKE AVE STE 105
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-5801
Country	:	US
Telephone Number	:	847-699-2490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	01/14/2026

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