Norma Canelas, LCPC
Individual provider Active NPI Mental Health Counselor · Winnetka, IL
NPI 1013674340 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1013674340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 180.007039 (IL)
- Practice address
- 992 1/2 Green Bay Rd
Winnetka, IL 60093-1722 - Phone
- (847) 446-8060
- Fax
- (847) 446-9768
- NPI assigned
- Nov 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Counseling Center of the North Shore Inc
Practice addresses (Care Compare)
992 /2 Green Bay Rd
Winnetka, IL 60093-1722
Phone (847) 446-8060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240119000375 | IL | Practitioner - Mental Health Counselor | 4082066683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.007039 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of the North Shore, Inc. | Current |
Accepting new patients |
Locations
992 Green Bay Rd
Winnetka, IL 60093
Phone (847) 446-8060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.007039 | IL | Yes |
Addresses
Primary practice location
992 1/2 Green Bay Rd
Winnetka, IL 60093-1722
Mailing address
992 1/2 Green Bay Rd
Winnetka, IL 60093-1722
Phone (847) 446-8060
Other providers in Winnetka, IL
- Randy C Bugayong
- Christopher Bulf
- Robert William Burton
- Meghan Cabrera
- Santiago Angel Candocia
- Care Endocrinology, PLLC
- Carole P Prete MD PLLC
- Stephanie V Cavanaugh
- Katherine M Ceisel
- Leigh Ann Charlot
All providers in Winnetka, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.