Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anita Johanson Maddox, LCPC

Individual provider Professional Counselor · NPI 1770623407

Anita Johanson Maddox, LCPC is a Professional Counselor in Lake Villa, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

89 Cedar Ave
Lake Villa, IL 60046-8411
Phone: (847) 265-7300
Fax: (847) 265-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence AM47190798P (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180004644 (IL)

Record details

NPI number1770623407
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESSeptember 21, 2010

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