Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Theis, MA, CSLGPSY, LCPC

Individual provider Professional Counselor · NPI 1366808974

Mary Theis, MA, CSLGPSY, LCPC is a Professional Counselor in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

9343 Drake Ave
Evanston, IL 60203-1406
Phone: (847) 677-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.004853 (IL)

Record details

NPI number1366808974
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CSLGPSY , LCPC
Sole proprietorYes
NPI enumeratedJanuary 12, 2016
Last updated in NPPESJanuary 12, 2016

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