Provider Demographics
NPI:1427401355
Name:MCGUINNESS, MARTA MAGDALENA (LCPC, CADC)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:MAGDALENA
Last Name:MCGUINNESS
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 E ALGONQUIN RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4168
Mailing Address - Country:US
Mailing Address - Phone:847-359-5192
Mailing Address - Fax:847-701-0350
Practice Address - Street 1:2010 E ALGONQUIN RD
Practice Address - Street 2:SUITE 206
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4185
Practice Address - Country:US
Practice Address - Phone:847-359-5192
Practice Address - Fax:847-701-0350
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-15
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011856101YP2500X
IL178012163101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)