Individual provider Active NPI

Svetlana Konstantinovic, LCPC

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1003918301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3350 Salt Creek Lane
Suite 114
Arlington Heights, IL 60005-1089
Phone
(847) 952-7460
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

3350 Salt Creek Lane
Suite 114
Arlington Heights, IL 60005-1089

Mailing address

3350 Salt Creek Lane
Suite 114
Arlington Heights, IL 60005-1089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321001151 IL Practitioner - Mental Health Counselor 9234576661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-002271ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rodasi LLC Professional CurrentSince Feb 28, 2024 Accepting new patients

Locations

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003918301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SALT CREEK LANE",
            "address_2": "SUITE 114",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SALT CREEK LANE",
            "address_2": "SUITE 114",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051089",
            "telephone_number": "847-952-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTINOVIC",
        "first_name": "SVETLANA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.