Active NPI
Elizabeth Anne Ciukaj, MA, LPC
- Professional Counselor
- Tinley Park, IL
National Provider Identifier
1003682402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019650
- Practice address
- 6825 167TH St
Tinley Park, IL 60477-2501 - Phone
- (708) 414-6117
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.019650 | IL | Primary |
Addresses
Primary practice location
6825 167TH St
Tinley Park, IL 60477-2501
Mailing address
12058 Arlene Dr
Homer Glen, IL 60491-6811
Phone (708) 280-2984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019650 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1003682402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12058 ARLENE DR",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604916811",
"telephone_number": "708-280-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 167TH ST",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604772501",
"telephone_number": "708-414-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIUKAJ",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.