Individual provider Active NPI

Eliza K Adams, MS

  • Professional Counselor
  • Elgin, IL
National Provider Identifier
1013564095
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013628 Issued in IL
Practice address
164 Division St Ste 202
Elgin, IL 60120-5516
Phone
(224) 431-8000
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32041 IL
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 180.013628 IL Primary

Addresses

Primary practice location

164 Division St Ste 202
Elgin, IL 60120-5516

Mailing address

177 S Grove Ave
Elgin, IL 60120-6407
Phone (847) 521-2829

Other practice location 1

8964 Rand Ave Apt 5104
Daphne, AL 36526-9158
Phone (847) 521-2829

Other practice location 2

177 S Grove Ave
Elgin, IL 60120-6407
Phone (847) 521-2829

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Alabama Behavioral Health Care Systems 7 clinicians

Practice addresses (Care Compare)

406 Medical Park Dr
Atmore, AL 36502-3016
Phone (251) 388-3820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240305001833 IL Practitioner - Mental Health Counselor 0840635470 Reassigns benefits to 2 organizations
I20250711003471 AL Practitioner - Mental Health Counselor 0840635470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
32041ILMDAddiction (Substance Use Disorder) Counselor

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 22, 2024 Accepting new patients
Brightside Medical, P.a. CurrentSince Jan 1, 2024 Accepting new patients
Southwest Alabama Behavioral Health Care Systems CurrentSince May 27, 2025 Accepting new patients
Legacy Counseling and Recovery Addiction (Substance Use Disorder) Current Accepting new patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients

Locations

406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245

1321 McMillan Ave
Brewton, AL 36426
Phone (251) 867-3242

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

651 S Sutton Rd
Streamwood, IL 60107
Phone (630) 424-1122

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/swamh/r4/

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1013564095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 S GROVE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601206407",
            "telephone_number": "847-521-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 DIVISION ST STE 202",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205516",
            "telephone_number": "224-431-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8964 Rand Ave Apt 5104",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269158",
            "country_code": "US",
            "telephone_number": "847-521-2829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "177 S Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601206407",
            "country_code": "US",
            "telephone_number": "847-521-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ELIZA",
        "middle_name": "K",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "32041",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.