Individual provider Active NPI

Taylor Eileen Yrigoyen, LCPC, CADC

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1013505965
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180013359 Issued in IL
Practice address
910 Skokie Blvd Ste 103
Northbrook, IL 60062-4032
Phone
(847) 480-0300
Fax
(847) 291-0576
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180013359 IL Primary

Addresses

Primary practice location

910 Skokie Blvd Ste 103
Northbrook, IL 60062-4032

Mailing address

835 Garfield Ave
Libertyville, IL 60048-3164
Phone (847) 980-2018

Other names 1

  • Taylor Eileen Salata Former name

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

State licenses

LicenseStateTypeSpecialty
180013359ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Counseling LLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

910 Skokie Blvd
Ste 103
Northbrook, IL 60062
Phone (773) 551-2811

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1013505965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 GARFIELD AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483164",
            "telephone_number": "847-980-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD STE 103",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624032",
            "telephone_number": "847-480-0300",
            "fax_number": "847-291-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YRIGOYEN",
        "first_name": "TAYLOR",
        "middle_name": "EILEEN",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SALATA",
            "middle_name": "EILEEN",
            "credential": "LPC, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.